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1. No federal appropriated funds have been or will be paid by or on behalf of the
<br /> GOVERNMENTAL BODY t0 8fly PBfSOf1 t0 influence or attempt to influence an officer or
<br /> employee of any federal agency, a Member of Congress, an officer or employee of
<br /> Congress, or an employee of a Member of Congress regarding the award of federal
<br /> assistance, or the extension, continuation, renewal, amendment, or modification of any
<br /> federal assistance agreement; and
<br /> 2. If any funds other than federal appropriated funds have been or will be paid to any
<br /> person to influence or attempt to influence an officer or employee of any federal agency, a
<br /> Member of Congress, an officer or employee of Congress, or an employee of a Member of
<br /> Congress in connection with any application for federal assistance, th8 GOVERNMENTAL
<br /> Bo�Y assures that it will complete and submit Standard Form-LLL, "Disclosure Form to
<br /> Report Lobbying," including information required by the instructions accompanying the
<br /> form, which form may be amended to omit such information as authorized by 31 U.S.C.
<br /> 1352.
<br /> 3. The language of this certification shall be included in the award documents for all
<br /> subawards at all tiers (including subcontracts, subgrants, and contracts under grants,
<br /> loans, and cooperative agreements).
<br /> The GovERNnnErvTa,� Bo�Y understands that this certification is a material representation of fact
<br /> upon which reliance is placed and that submission of this certification is a prerequisite for providing
<br /> federal assistance for a transaction covered by 31 U.S.C. 1352. The GovERNMErvTA� Bo�v also
<br /> understands that any person who fails to file a required certification shall be subject to a civil
<br /> penalty of not less than $10,000 and not more than $100,000 for each such failure.
<br /> C. Nondiscrimination Assurance. As required by 49 U.S.C. 5332 (which prohibits
<br /> discrimination on the basis of race, color, creed, national origin, sex, or age, and prohibits
<br /> discrimination in employment or business opportunity), Title VI of the Civil Rights Act of 1964, as
<br /> amended, 42 U.S.C. 2000d, and U.S. DOT regulations, "Nondiscrimination in Federally-Assisted
<br /> Programs of the Department of Transportation--Effectuation of Title VI of the Civil Rights Act," 49
<br /> CFR part 21 at 21.7, the GovERrvMErvTa� Bo�Y assures that it will comply with all requirements of
<br /> 49 CFR part 21; FTA Circular 4702.1, "Title VI Program Guidelines for Federal Transit
<br /> Administration Recipients," and other applicable directives, so that no person in the United States,
<br /> on the basis of race, color, national origin, creed, sex, or age wilf be excluded from participation in,
<br /> be denied the benefits of, or otherwise be subjected to discrimination in any program or activity
<br /> (particularly in the level and quality of transportation services and transportation-related benefits)
<br /> for which the GovERNnnErvTa�Bo�v receives federal assistance.
<br /> Specifically, during the period in which federal assistance is extended to the project, or project
<br /> property is used for a purpose for which the federal assistance is extended or for another purpose
<br /> involving the provision of similar services or benefits, OC aS IOfl9 3S the GOVERNMENTAL BODY
<br /> retains ownership or possession of the project property, whichever is longer, th2 GOVERNMENTAL
<br /> Bo�Y assures that:
<br /> 1. Each project will be conducted, property acquisitions will be undertaken, and
<br /> project facilities will be operated in accordance with all applicable requirements of 49
<br /> U.S.C. 5332 and 49 CFR part 21, and understands that this assurance extends to its
<br /> entire facility and to facilities operated in connection with the project.
<br /> 2. It will promptly take the necessary actions to effectuate this assurance, including
<br /> notifying the public that complaints of discrimination in the provision of transportation-
<br /> related services or benefits may be filed with U.S. DOT or FTA. Upon request by U.S.
<br /> DOT or FTA, the GovERrvnnENra�Bo�Y assures that it will submit the required information
<br /> pertaining to its compliance with these requirements.
<br /> 3. It will include in each subagreement, property transfer agreement, third party
<br /> contract, third parry subcontract, or participation agreement adequate provisions to extend
<br /> the requirements of 49 U.S.C. 5332 and 49 CFR part 21 to other parties involved therein
<br /> including any subrecipient, transferee, third party contractor, third party subcontractor at
<br /> any level, successor in interest, or any other participant in the project.
<br /> 4. Should it transfer real property, structures, or improvements financed with federal
<br /> Intergovernmental Agreement(Rev.03/04) 4 Decatur FTA-05
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