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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 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., 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 /> 826/1014 3:38:29 PM <br />