Laserfiche WebLink
7baprospactiv4poicipanteerafies, by S19CO49 8ndsubhoittingthis bid orproposaltothobostof his orher <br />knowledge and belief, tW: <br />1. No federal omppriated ftds have been paid or will be paid, by or on behalfof the undersigned, to <br />any person for influonoing or attempting to Influence an officer or employee of my federal agency, 4 <br />Member of Congress, an officer or employee of Congms% or an employee of aMember of Congtess <br />In connection with the. awarding of my Weral contract, the mOng of my federal grant, the mWdog <br />of any federal loan, the entering into of any cooperative agreamen� and the extendon, Continuation, <br />renewal, amondment, or modifluadenorany Warej conhC4 gmtloan, orcDopeffitivougmernent, <br />Z U my ftds other than Word appmprlated funds have been Odor will be paid to any person for <br />influencing or aftepting to iniluence any omeer, or employee of any federal agency, a Member of <br />Congress, an OfflOct Or OMPIOYQO OfCongmas, or an employee of a Member of Congress In <br />connection with this federal contract, grant loan, loan or cooperative agreemorA the undersigned <br />shall complete and submit a "Discilosute of Lobbying ActlVides". <br />We cortillcation Is a material. representation of fact upon which reliance was placed when. this transaction was made <br />or anteredinto, Submission of this cartifleation Is a prorequisIte far maldq or aliteftinto this tranoaOtIonimposod <br />by Section 1352, Title 3 1, U S. Code� Any person who falls to file the iquired mtifcatioa shall be subject to a. obvil <br />penalty ofnot less than $10,000 and not more than $1 00,00o for each anch, fall=, <br />The prospective participant also agreai by submitting bb or her Lid or proposal that he cc she shall require that the <br />language of this certification be Inoloded In all lower tier subcontmots, Which exceed $ 100,000 and that all suph sub <br />recipients shall cardry and disclose moordingly, <br />Fluitt-7ollars, Inc <br />Signod and Printed Name; <br />,iv.o- Office Manager and Vice President <br />Date March 20,2018 <br />11053501. �!� , R", ! - - , � 'r Saoc."'.s <br />150 , " .%Z,.,r <br />11 O� Jill I I I I "W"W"ON <br />bfty of #into Ana RrP""* <br />Page A3-2 <br />25E-293 <br />