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40 40 U.S. Department of Housing . ation of Payments and Urban Development to Influence Federal Transactions Office of Public and Indian Housing�9 qc) Apolicant Name INDTAN PINIFR COUNTY BOARD OF COUNTY C0tiMTSST01`1F.R5 p(ogram/Activity Receiving Federal Grant Funding SECTION 8 TENANT BASED RENTAL ASSTSTANCF PROGRAM The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress. or an employee of a Member of Congress in connec- tion with the awarding of any Federal contract, the making of any Federal grant. the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation. renewal. amendment, or modification of any Federal contract, grant. loan. or cooperative agreement. t_) 1f any funds other than Federal appropria[ed funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress. or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or coopera[ice agreement, the undersigned shall complete and submit Standard Form -LLL. Disclosure Form to Report Lobbying. in accordance with its instructions. (3) The undersigned shall require that the language of thi, certification be included in the award documents for all subaward- at all tiers (including subcontracts, subgrants, and contracz> under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entcre,'. into. Submission of this certification is a prerequisite for makin-- or entering into this transaction imposed by Section 135=. Titl: 31, U.S. Code. Any person who fails to file the require.: certification shall be subject to a civil penalty of not less th_- 510.000 and not more than 5100.000 for each such failure. d herein. as well as any I hereby certify that all the information stateinformation provided in the accompaniment herewith. is true and accurac. Warning: HUD will prosecute 051012ms and $ 3729` 3802) Conviction may result in criminal and/or civil penalties. (18 U.S.C. I Tele: Name of A°tnonted Otlicial: X KENNETH R. MACHT c9'IAIRMAN 3/a,/`/' form HUD 50071 i-' ,. 715 , .16 , ..