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CERTIFICATION REGARDING LOBBYING
<br /> PURSUANT TO 49 CFR PART 20
<br /> Certification for Contracts, Grants, Loans, and Cooperative Agreements
<br /> (To be submitted with each bid or offer exceeding$100, 000)
<br /> The undersigned[Contractor]certifies,to the best of his or her knowledge and belief,that:
<br /> 1) No Federal appropriated funds have been paid or will be paid,by or on behalf of the undersigned,
<br /> to any person for influencing or attempting to influence an officer or employee of an agency,a Member of
<br /> Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with
<br /> the awazding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the
<br /> entering into of any cooperative agreement,and the extension,continuation,renewal,amendment,or
<br /> modification of any Federal contract,grant,loan,or cooperative agreement.
<br /> 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
<br /> making lobbying contacts to an officer ar employee of any agency,a Member of Congress,an officer or
<br /> employee of Congress,or an employee of a Member of Congress in connection with this Federal contract,
<br /> grant,loan,or cooperative agreement,the undersigned shall complete and submit Standard Form--LLL,
<br /> "Disclosure Form to Report Lobbying,"in accordance with its instructions[as amended by"Government
<br /> wide Guidance for New Resri-ictions on Lobbying,"61 Fed.Reg. 1413(1/19/96).Note:Language in
<br /> pazagraph(2)herein has been modified in accordance with Section ]0 of the Lobbying Disclosure Act of
<br /> 1995(P.L. 104-65,to be codified at 2 U.S.C. 1601,et seq.)]
<br /> 3) The undersigned shall require that the language of this certification be included in the award
<br /> documents for all subawards at all tiers(including subcontracts,subgrants,and contracts under grants,loans,
<br /> and cooperative agreements)and that all subrecipients shall certify and disclose accordingly. This
<br /> certification is a material representation of fact upon which reliance was placed when this transaction was
<br /> made or entered into.Submission of this certification is a prerequisite for making or entering into this
<br /> transaction imposed by 3 1,U. S.C. § 13 5 2(as amended by the Lobbying Disclosure Act of 1995).Any
<br /> person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000
<br /> and not more than$100,000 for each such failure. [Note:Pursuant to 31 U.S.C. § 1352(c)(t)-(2)(A),any
<br /> person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure
<br /> form shaft be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such
<br /> expenditure or failure.]
<br /> The Contractor, F��r� 7ra�s�� certifies or affirms the truthfulness and accuracy
<br /> of each statement of its certification and disclosure,if any.In addition,the Contractor understands and agrees that the provisions
<br /> of 3 1 U. S.C. §3 80 1,et seq.,apply to this certification and disclosure,if any.
<br /> Signature of Contractor's Authorized Official
<br /> /Y/atf' �i ���✓a� U�caQ pt:�SiD��Name and Title of Contractor's Authorized Official
<br /> J y�✓e �p '`° � Z.�`� Date
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