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A TRUE COPY
<br />CERTIFICATION ON LAST PAGE
<br />RYAN L. BUTLER, CLERK
<br />EXHIBIT — 3
<br />CERTIFICATION REGARDING LOBBYING
<br />Check the appropriate box:
<br />❑ This Certification Regarding Lobbying is required because the Contract, Grant, Loan, or
<br />Cooperative Agreement shall exceed $100,000 pursuant to 2 C.F.R. Part 200, Appendix II(I); 31
<br />U.S.C. § 1352; and 44 C.F.R. Part 18.
<br />12r This Certification is not required because the Contract, Grant, Loan, or Cooperative Agreement
<br />shall be equal to or less than $100,000.
<br />APPENDIX A, 44 C.F.R. PART 18 — CERTIFICATION REGARDING LOBBYING
<br />Certification for Contracts, Grants, Loans, and Cooperative Agreements
<br />The undersigned certifies, to the best of his or her knowledge and belief, that:
<br />No federal appropriated funds have been paid or shall be paid, by or on behalf of the
<br />undersigned, to any person for influencing or attempting to influence an officer or employee of an
<br />agency, a member of Congress, an officer or employee of Congress, or an employee of a
<br />member of Congress in connection with the awarding of any federal contract, the making of any
<br />federal grant, the making of any federal loan, the entering into of any cooperative agreement, and
<br />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 shall be paid to any person
<br />for influencing or attempting to influence an officer or employee of any agency, a member of
<br />Congress, an officer or employee of Congress, or an employee of a member of Congress in
<br />connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall
<br />complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance
<br />with its instructions.
<br />3. The undersigned shall require that the language of this certification be included in the award
<br />documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under
<br />grants, loans, and cooperative agreements) and that all Sub -Recipients shall certify and disclose
<br />accordingly. .
<br />This certification is a material representation of fact upon which reliance was placed when this transaction
<br />was made or entered into, Submission of this certification is a prerequisite for making or entering into this
<br />transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required
<br />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 />The Sub -Recipient or subcontractor, , certifies or affirms the
<br />truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the
<br />Contractor understands and agrees that the provisions of 31 U.S.C. Ch. 38, Administrative Remedies for
<br />False Claims and Statements, apply to this certification and disclosure, if any.
<br />Signature of Sub-Recipient/subcontractor's Authorized Official
<br />David Johnson, Director
<br />Name and Title of Sub-Recipient/subcontractor's Authorized Official
<br />Date
<br />32
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