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C-1 <br />M <br />+0 <br />PAAT 9; C- "ar C4 <br />or4nitrrwag cLtsO,trng <br />Grant. Loans. and Coaperog- Agraa►nant; <br />CHECK IF CER nF4APON IS FOR 174E AWARD OF ANY OF neE FOL LOWTNG A -AV <br />THE SUBCONTRATEXCEEDS $ 100000 A FEDERAL GRANT OR COOPERA TIVE AGREEMENT, <br />C T, OR S 1 GRANT UNDER THE GRANT OR COOPERA TIVE AGREEMENT <br />CHECK (F CER TJPCA r*N IS FOR THE AWARD OF A FEDERAL <br />LOANFxaC04NG THE AMOONT OF $150.000 ORA SURGRANT+OR <br />SUCICONTRACT EXCEEOING 5100,000, UNDER THE LOAN <br />The undersigned 09rtifies, to this best of his or her knowledge and belief, dust <br />(1) No FerSerat appropriated funds have been Raid or wn11 be Para. by or on behalf of 0>tis undersigned, to any person for influerxhng <br />or attempting to W&Xrice an officer a 0ffoo: oro of an agency, a Member of Congre as, and Officer of arroloyea Of Congress, <br />or any ensployeo of a Member of Congress in cays;ection with the awar" of any Federal contract, the raskirrp of any Federal <br />grant, td* makjog of any Federal ban, the enlering into cf any c0OPml7ve agreement, and the extensk-^ cvnli wt!Or, renewal, <br />amendrnont, or nhodifiratyon of any Federal conuaGt, grant, ban, or cooperative agreement. <br />(2) if any funds ober than Federal a0roPnaled funds have been pard of wA be paid 10 any person for tnfluerying or attemp" <br />to viftuence an officer or ernp4oyee of any agency. a Member of Ccngre". an officer or envWyee of Congress. or an erre" <br />of a Mernber of COngress in conr>edw vrddh this Federal contract. gnarl, ban. or cooperative agreement, the undersigned shat <br />co,rnplete and submit Standard Fom,LLL.'Di sclosure Farm to Report Lobbying,' in accord aace with ds instructions. <br />(3) The undersigned shah require U,Ial the language of this c4rtifiicaton be included in the award documents for ail subawards at <br />all Uers (wr duding subcontracts. subg(ants. and contracts under giants, 'bans. and cooperatrva agfeements) and that jA <br />subreo*nts shag cer* accordingly. <br />This cedrfycation is a rnatenal representation of fad upon which reliance was placed when this transaction was made or entered <br />trite. Subntossron of tlnis oerlfflcalion a a prerequisRe for n akirxJ or entering undo Mtransaction ii nRosed by Secs)on 1332, title 31, <br />U.S. Code. Any person veto fails to file the required ccnAcation shall be Suet to a OMI penab[y of nal less than W000 and ryot <br />more tdian $100.000 for each such failure. <br />As the authorized certifying official, i hereby certify that the above specified certrfiealions are true. <br />SIGNATURE OF AUTHORIZED CERTIFYING OFFICtA'L <br />TYPED NAME AND TITLE FRAN 13. ADAMS, CHATRiMAN, INDIAN RIVER COUVry L0ARD Or Cr7t]t+lt`Y <br />CC`?.! T r:!7 Tf,ply:p <br />DATE "t `� f`c}C� Eek�C'Udr}L1rLr1i] <br />h iridian River County Al:prnve(i hate <br />1100T- <br />iJftp.lr;rlh l?rlt <br />03 L <br />:L <br />ll l Y I Si []T1 <br />%Na <br />Iiad 10w <br />rtw 1" mallow p l I4L M o1µ <br />0 1"s 04 11"o0 1la <br />