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CERTIFICATION REGARDING LOBBYING <br /> The undersigned Bidder/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 , to any person for <br /> influencing or attempting to influence an officer or employee of an agency, a Member of Congress , an officer or <br /> employee of Congress , or an employee of a Member of Congress in connection with the awarding of any Federal <br /> contract, the making of any Federal grant, the making of any Federal loan , the entering into of any cooperative <br /> agreement, and the extension , continuation , renewal , amendment, or modification of any Federal contract, grant, <br /> 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 making lobbying <br /> contacts to an officer or employee of any agency, a Member of Congress , an officer or employee of Congress , or <br /> an employee of a Member of Congress in connection with this Federal contract, grant, loan , or cooperative <br /> agreement, the undersigned shall complete and submit Standard Form — LLL , " Disclosure Form to Report <br /> Lobbying ," in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on <br /> Lobbying" , 61 Fed . Reg . 1413 ( 1 / 19/96 ) . Note : Language in paragraph (2 ) herein has been modified <br /> in <br /> accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P . L. 104-65 , to be codified at 2 U . S . C . 1601 , et <br /> seq. )] <br /> (3) The undersigned shall require that the language of this certification be included in the awards documents for all <br /> subawards at all tiers ( including subcontracts , subgrants , and contracts under grants , loans , and cooperative <br /> agreements ) and that all subrecipients shall certify and disclose accordingly. <br /> This 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 transaction <br /> imposed by 31 , U . S . C . 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the <br /> required certification shall be subject to a civil penalty of not less than $ 10 , 000 and not more than $ 100 , 000 for <br /> each such failure . <br /> [Note : Pursuant to 31 U . S .C . 1352 ( 1 )-(2 )(A) , any person who makes a prohibited expenditure of fails to file or <br /> amend a required certification or disclosure form shall be subject to a civil penalty of not less than $ 10 ,000 and not <br /> more than $ 100 ,000 for each such expenditure or failure] <br /> The Bidder/Contractor, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if <br /> any. In addition , the Contractor understands and agrees that the provisions of 31 U . S . C . A 3801 , et seq. , <br /> apply to this <br /> certification and disclosure , if any. <br /> Company Name : <br /> Authorized By: <br /> (Sign ) (Print Name ) <br /> Title : Date : <br /> P- 17 <br /> 8/29/Z008 320:34 PM <br />