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The prospective participant cortifles, by signing and submitting this bid or proposal, to the beat of his or her <br />knowledge and belief, that: <br />1. No federal appropriated funds have been paid or will be pald, by Or on behalf of the undersigned, to <br />aoy person for Influencing or attempting to Influence an officer or employee of any federal agency, a <br />Member of Congresq, an officer or employee of Congress, or an employee of a Member of Congress <br />fit connection with the awarding ofary federal contract, the making of any federal grant, the, making <br />of any federal loan, the entering into of my cooperative agreement, and the extension, rontirtuation, <br />renewal, amendment, or modification ofany federal coatmc� grant, loan, or cooperative agreement. <br />2. If any funds other than federal appropriated Atuds have been paid or will be paid to any person for <br />influencing Or attempting to Influence any officer or employee ofany faderal agency, a Member of <br />Congress, art officer or employee OfCongress, or an employee of a Member ofCongress hi <br />connection with this federal contract, grant loan, loan or cooperative agreement, the undersigned <br />shall complete mid submit a'Disolosure of Lobbying Activitics". <br />This certification Is a material representation of fact upon which reliance was placed when this transaction was made <br />or entered Into. Submission of this certification Is a prerequisite for maldrig or entering into this transaction imposed <br />by &ction 1352, Title 3 1, U. S. Code. Any person who falls to file the roqulred certification shall be subject to a civil <br />penalty of not less than $ 10,000 and not more than $100,000 for each such failure. <br />The prospective participant also agrees by submitting his or her bid or proposal that he or site shall require that the <br />language of this cortithartion be Included In all lower fler subcontracts, which exceed $100,000 and that all such sub <br />recipients shall certify and disclose accordingly, <br />Firm <br />Sign( <br />Date NU/2018 <br />City of SWta no RFP <br />Page A3-2 <br />25E-416 <br />