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Ito prospective participant certifies, by sIV)Ing and stibmittingthis bid or proposal, to the best ofh1s or her <br />lonowtodge and W110f. that: <br />No�fodo,WePproPrlatedfodsbavobompaidurviUbojWdbywonbehelfofihouiidersiped to <br />sW"a for influam4 or aftmptIngto jailuenes go ofter or employee of any Aderal apncy,a <br />Umborof Cotwess, anoffloer orcroployes of Congressoron employmoroMembarof Con WS <br />In connection with the awaft of soy MMI contract, the mak[M of anyfodergl grant, the ratz <br />ofmW federal 16M, the entering lixto ofany Ooujrerwv� WWMm14 Ood IN oxtemlon, continuation, <br />renewal, aMendMent, or moOoWou of any faderpi omtrito4 Ont; low, or mopqrat[w agreenjeat. <br />2. <br />This certification Is amaterial ropmemation of fhot upon which reliance was placed when this transaction was Insde <br />or catmW Into, Submission ofthis certification Is 8 PtVw4W$he b maldIng or entering him this; Wmaotion lotposed <br />by Scotto I JSR)'ntlo,31, U, S. Code, Any person who hils to file the, req m a cat ion a flaii b 0 a*j 0 at i a* ONI I <br />penalty of not less Own $10,000 and not inore1han VI 06,606 formalt swb=, <br />The prospootivo paitiolpant also agrees by subinitting his or her bld or proposal that he or she shall require, that the <br />lanpap of this eatiflostion be Jocluded In all lower tier subcontracts, which oxwed $100,000 and that all such sub <br />t6olplonts Omit outl4r and disolose accordingly, <br />Firm <br />�A <br />fted and Printed Nom <br />25E-414 <br />