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Appendix A <br /> Certification for Contracts , Grants, Loans and Cooperative Agree- <br /> ments <br /> The undersigned certifies, to the best of his or her knowledqe <br /> and believe, that: <br /> ( 1) No Federal appropriated funds have been paid or will be paid, <br /> by or on behalf of the undersiqned, to any person for influencing <br /> or attempting to influence an officer or employee of any agency, <br /> a Members of Conqress , an officer or employee of Conqress, or an . <br /> employee of a Member of Conqress in connection with the awarding <br /> of any Federal contract, the makinq of any Federal grant, the <br /> making of any federal loan, the enterinq into of any cooperative <br /> agreement, and the extension, continuation, renewal, amendment, <br /> or modification of any Federal contract, grant, loan, or coopera- <br /> tive agreement. <br /> ( 2) If any funds other than Federal appropriated funds have been <br /> paid or will be paid to any person for influencing or attempting <br /> to influence an officer or employee of any agency, a Member of <br /> Congress , 3n officer or employee of Congress , or an employee of a <br /> Member •of Conqress in connection with this Federal contract, <br /> grant, loan, or cooperative agreement, the undersiqned shall com- <br /> plete and submit Standard Form-LLL, "Disclosure Form to Report <br /> Lobbying, " in accordance with its instructions . <br /> (3) The undersicmed shall require that the language of this cer- <br /> tification be included in the award documents for all subawards <br /> at all tiers ( including subcontracts , subgrants , and contracts <br /> under grants , loans , and cooperative agreements) and that all <br /> subrecipients shall certify and disclose accordingly. <br /> This certi�ication is a material representation of fact upon <br /> wnich reliance was placed when this transaction was made or en- <br /> tered into. Submission of this certification is a prerequisite <br /> fcr making or entering inte this transaction imposed by section <br /> 1352 , title 31 , U. S. Code. Any person who fails to file the re- <br /> quired certification shall be subject to a civil penalty of noz <br /> less than $10,000 and not more than $100, 000 for each sucr. <br /> failure. <br />