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Certification Regarding Lobbying <br /> Certification for Contracts , Grants , Loans and Cooperative <br /> Agreements <br /> The undersigned certifies , to the best of his or her knowledge and <br /> belief , that . <br /> ( 1 ) No Federal appropriated funds have been paid or will be paid , <br /> " by . . or ! on behalf of the undersigned , to any person for influencing <br /> or oatt6mptlnq to influence an officer or employee of any agency , <br /> a ` Member : of Congress , an officer or employee of Congress , ' or : an <br /> employee ' of _ a Member of Congress . iz conne = tioa with the awarding <br /> o " any Federal . contract , the makingof any Federal grant ,` the , <br /> rmak� ng,, Qf any. Federal loan , the entering into of any ; cooperative <br /> 4agreeaent ; :' and . the extension , GOntlnuation ', ; renewal �, `: amendment , ' ;Or <br /> = ; v modzficat ;on of any Federal contract , grant , loan , . , . or cooperative <br /> agreement . : <br /> � 2`. T}f any. funds other than Federal appropriated funds have been <br /> 'Ir ,paid o`rrwill be paid to any person for influencing or attempting <br /> fluence r -a rofficer or employee of - any agency ;' = aMember of <br /> , rsn Congxe s , . an officer or employee of Congress , or - - an ' ' employee of a <br /> F Me;mberof. Congress in connection withthis , Federalcontract , grant , <br /> A Dani orx -cooperative agreement , the . undersigned shall . complete and <br /> baht Standard Form LLL , " Disclosur'e Form to . Report _Lobbying in <br /> "dcCo3nce , wl t3 eL <br /> its instructions <br /> r3 � 7ie undersigned shall require , that . the language of, this <br /> n ' oertifcatLi on be included in ` the award ' . documents for ,: all subawards <br /> i i . • <br /> at all t % rs ( including subcontracts , subgrants , ` and contracts <br /> unser °grans , <-:loans , and cooperative agreements ) „ ' and ' '-: thdt all _ ., <br /> R subrec_ pie'nts ; shall certify and disclose accordingly . ' <br /> To his certification is a material representation of fact upon .. which <br /> _reliance . wa's placed when this transaction Was made or entered unto . <br /> SubmisSion_ of this certification is a prerequisite for making or <br /> entering into this transaction imposed by section 1352 , title 31 , <br /> U0 S . Code . Any person who fails to file the required certification <br /> shall be subject to a civil penalty of not less than $ 10 , 000 and not <br /> more than $ 100 , 000 for each such failure . <br /> Kenneth R . Macht , Chairman <br /> Typed N e Title of Authorized epresentative <br /> 09 - 16 - 2003 <br /> S ture of Authorized Repres ntative Date <br /> Page 20 <br />