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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
<br /> any
<br /> person for influencing or attempting to influence an officer or employee of an agency, a Member
<br /> of
<br /> Congress , an officer or employee of Congress , or an employee of a Member of Congress in connection
<br /> with the awarding of any Federal contract , the making of any Federal grant, the making of any Federal
<br /> loan , the entering into of any cooperative agreement, and the extension , continuation , renewal ,
<br /> amendment , or modification of any 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
<br /> making lobbying contacts to an officer or employee of any agency, a Member of Congress , an officer or
<br /> employee of Congress , or an employee of a Member of Congress in connection with this Federal contract ,
<br /> grant, loan , or cooperative agreement, the undersigned shall complete and submit Standard Form — LLL ,
<br /> " Disclosure Form to Report Lobbying , " in accordance with its instructions [as amended by " Government
<br /> wide Guidance for New Restrictions on Lobbying", 61 Fed . Reg . 1413 ( 1 / 19/96 ) . Note : Language in
<br /> paragraph (2 ) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of
<br /> 1995 ( P . L . 104-65 , to be codified at 2 U . S . C . 1601 , et seq. )]
<br /> (3 ) The undersigned shall require that the language of this certification be included in the awards documents
<br /> for all subawards at all tiers ( including subcontracts , subgrants , and contracts under grants , loans , and
<br /> cooperative 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
<br /> transaction was made or entered into . Submission of this certification is a prerequisite for making or
<br /> entering into this transaction imposed by 31 , U . S . C . 1352 (as amended by the Lobbying Disclosure Act of
<br /> 1995 ) . Any person who fails to file the required certification shall be subject to a civil penalty of not less
<br /> than $ 10 , 000 and not more than $ 100 , 000 for 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
<br /> file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than
<br /> $ 10 , 000 and not 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
<br /> disclosure , if any. In addition , the Contractor understands and agrees that the provisions of 31 U . S . C . A 3801
<br /> , et
<br /> seq. , apply to this certification and disclosure , if any.
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<br /> (Sign ) ( Print Name )
<br /> Title :_ s Date : ( a
<br /> 00474
<br /> F :\PublicWorks\ENGINEERING DIVISION PROJECTS\0745-Indian River Blvd Sidewalk Imp . Proj 12th 17th St. (LAP )\Admim\bid
<br /> documents\00474 - CERTIFICATION REGARDING LOBBYING . doc
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