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4 � _ � EXHIBIT "D" <br /> RESTRICTIONS ON LOBBYING CERTIFICATION I, <br /> - 49 CFR Part 20 <br /> � The undersigned Contractor certifies, to the best of his/her knowled�e and belief, that: <br /> � (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the <br /> � undersigned, to any person for influencing or attempting to influence an off'icer or employee of <br /> any ajency, a member of Congress, an off'icer or employee of Congress, or an employee of a <br /> � - member of Congress in connection with the awarding of any Federal contract, the making of <br /> any Federal grant, the making of any Federal loan, the entering into of any cooperative <br /> r.L <br /> agreement, and the extension, continuation, renewal, amendment, or modification of any <br /> � 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 <br /> � person for making lobbying contacts to an officer or employee of any agency, a member of <br /> Congress, an officer or employee of Congress, or an employee of a member of Congress in <br /> connection with this Federal contract, grant, loan, or cooperative agreement, the undersib ed <br /> � shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in <br /> accordance with its instructions. <br /> � (3) The undersigned shall require that the language of this certification be included in <br /> the award documents for all subawards at all tiers (including subcontracts, subgrants, <br /> and contracts under grants, loans and cooperative a?reements) and that all <br /> � subrecipients shall certify and disclose accordingly. <br /> � This certification is a material representation of fact upon which reliance was placed when this <br /> �� transaction was made or entered into. Subrnission of this certification is a prerequisite for <br /> making or entering into this transaction imposed by 31 U.S.C. 13�2 (as amended by the <br /> Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall <br /> -- be subject to a civil penalty of not less that $10,000 and not more than $100,000 for each <br /> failure. <br /> � The undersi�ned Contractor certifies or affirms the truthfulness and accuracy of each statement <br /> � of its certification and disclosure, if any. In addition, the Contractor understands and agrees <br /> that the provisions of 31 U.S.C. A3801, et seq., apply to this certification and disclosure, if any. <br /> Date: ��/�/� �1 <br /> ��� � <br /> -- Company Name: <br /> C o`� ��u �ie.r � , <br /> Authorized Represen ative Name: <br /> f„ � ) � . <br /> � Title: <br /> i <br /> ,, I''v <br />