|
. .
<br /> Project Number 17-01-000014
<br /> PART E: Certitication Regarding Lobbying
<br /> Certitication for Contracts,Grants,Loans,and Cooperative Agreements
<br /> CHECK IF CERTIFICAT/ON IS FOR THB AWARD OF ANY OF THE FOGLOWING AND
<br /> THEAMOUNT EXCEEDS SI00,000:A FEDERAL GR4MOR COOPERATIVEAGREEMENT;
<br /> SUBCONTRAC7;OR SUBGR9NT UNDER THE GRANT OR COOPERATIVE AGREEMEN7:
<br /> CHECK fF CERTlFICATlONlS FOR THEAWARD OFA FEDERAL
<br /> LOAN IXCEEDlNG THE AMOUNT OF$1 S0,000,OR A SUBGRANT OR
<br /> SUBCONTRACT EXCEEDING$100,000,UNDER THE LOAN.
<br /> The undersigned 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,to any person for influencing or attempdng
<br /> to influence an ofFicer or employee of an agency,a Member of Congress,and o�cer or employee of Congress,or an employee of a Member
<br /> of Congress in connecdon with the awarding of any Federal contract,the making of any Federal gant,the making of any Federal loan,the
<br /> entering into of any cooperative ageement, and the exteasion,continuation,renewal,amendment, or modification of any Federal contract,
<br /> grant,loan,or cooperative ageement.
<br /> (2) ff any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an
<br /> o�cer or employee of any agency,a Member of Congress,an officer or employee of Congess,or an employee of a Member of Congess in
<br /> connecdon with this Federal conrract,gant,loan,or cooperative agreement,the undersigned shall complete and submit Standard Form-LL.L,
<br /> "Disclosure Form to Report Lobbying,"in accordance with its instrucdons.
<br /> (3) The undersigned shall require that the language of this certificadon be included in the award documents for all subawards at all tiers
<br /> (including subconaacts, subgranu, and contracu under gants, loans, and cooperadve ageements) and that all subrecipients shall certify
<br /> accordingly.
<br /> T1us certification is a material representadon of fact upon which reliance was placed when this transaction was made or entered into. Submission
<br /> of this certificadon is a prerequisite for making or entering into this transaction imposed by Section 1352,tide 31,U.S.Code. Any person who
<br /> faiis to file the required certification shall be subject to a civil penalty of not less thaa$10,000 and not more than$100,000 for each such failure.
<br /> As the authorized certifying official,I hereby certify that the above specified certifications are we. _
<br /> , SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
<br /> Steve Garman, City Manager
<br /> TYPED NAME AND TTTLE
<br /> October 18, 2001
<br /> DATE
<br /> DI-2010
<br /> June 1995
<br /> (This form replaces DI-1953,DI-1954,
<br />� D41955,DI-1956 and D41%3)
<br />
|