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Attachment k <br />Certification Regarding•Lobbying <br />STATE OF FLORIDA <br />INDIAN RIVER COUNTY <br />THIS IS TO CERTIFY THAT THIS IS <br />A TRUE AND CORRECT COPY OF <br />THE ORIGINAL ON FILE IN THIS <br />0F,FIrwE. <br />Check the appropnate :box <br />❑ This Certification Regarding Lobbying is -required because the Contract, Grant, Loan, or <br />Cooperative Agreement will; exceed;$100 000 pursuant to 2 C.F.R. Part 200, Appendix 11(I); 31 <br />.0 <br />.&C. § 1352, and 44 C.F R Part`18. <br />❑ fihis Certification Is not.requiredbecause the,Contract; Grant, Loan, or Cooperative Agreement <br />will'W'Idss;,than$100 000. <br />APPENDPX 44 CFR., PART 18 - CERTIFICATION REGARDING LOBBYING <br />Certification for Contracts, Grants, Loans, and Cooperative -Agreements <br />The undersignedcertifies, to the best of,his or her.knowiedgeand belief, that: <br />4 No Federal5appropnatedfuvds; have been pard orwlll be paid:by or on: -behalf of the_undersigned, to <br />any person for influencing or attempting to Influence an officer oremployee of in agency; a Member <br />of Congress, an officer` employee of`Congress, r. an emplgyee:of,a Member of Congress In <br />connection wrth the awadmg of any Federal'eontra`the-making ofany-Federal grant;'the malting of <br />anFederal loan, the entenng into of any eoopere _4 agreement; andahe extension, contirWation, <br />renewal; amendment;,or modification of any. FedeW4ontroct-grant, loan, or cooperative agreement <br />I <br />2. If any funds other�thgn-FoOerraliappropOatiDd funds have:.been paid.or will. be paid to any.. person#or <br />Influencing or attempting:to influence an officenor employeeof:any a agency, Member of.Congress, <br />an'Acer-or employee of Congress, Oran employee of a Mernber of Congress -in connection with this <br />Federal contract=grant;loan,,orc�operabve agreement, the undersigned1shall complete and -submit <br />Standard Form -LLL, °pisdosure Fomiao Repoit.Lotit ying;n`in<aixordance Wthlts instructions. <br />3. <br />included.in;the wmrd , <br />ants, and contracts under <br />shall certify;and !disclose <br />This certification is a material representation of fact upon whicl :reliance was placed when this transaction was <br />made or entered Into Swtmission of this>cerbfictionis,a preriequisite;for making or entering into this <br />transaction imposed by se66n!'1352--tit!e 3-1"U'-"", . Code Any personmho fails to file the:required.eertification <br />shall be sUbio to.a civil penalty of not less.than$10,'000 and not more than $10Q;000 for each such failure. <br />ne auo-rkeclpient or suoeontractor, certifies or affirms the <br />vthfulness_ and accuracy of eacH. statement of its certification;and disciosure, if any.. In addition; the Contractor <br />Inderstands and agrees that the;provlsions of 31 U S C Chap: 38, Administrative Remedies for -False Claims <br />Ind, Statements; applyao #hts certification and disdosure, if any: <br />Si nature of $ut�Reci ient/subcontrdc�oi's�AiithonzedOfficia =��-``� <br />Name and Title of SulrRek:ipient/subiontractor's Authorized.OffioWI <br />Date - ... .. - , <br />58 <br />D.C. <br />