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TJWPrOSPeodVOPM1IcIPAat CertIlles, bYsiguldgmidsubmitfirl; this bid or proposal, to the bostofIrlsorher <br />knowledge mid belief, that - <br />I. No Moral appropriated Uds hava.bean paid or will be paid, by or on be - <br />half ofthe undersigned, to <br />altyporson flar Influenoing or an officer or employee of any federal agency, a <br />MMborofCon as$, an officer or employee ofCongresa, or4romploypa of a member of Congress <br />In connection wrth the Warding Of MV federal 0oatteat, the inaking of any fed oval granto the making <br />Of QhY Moral JOAH, the ORWInS Into of Any emperadve agreement, and the extension, continuation, <br />renewal, amendment, or modifloatiou ofany Word contract, grantloan, or cooperative agreencenj, <br />2. If any AMs other than federal appmpA*d We have been paid or will be paid to any person fm <br />attempting to InfteMe MY officer or employee of ftayfedoustagency, aMember of <br />Congress, on offloof or employee Of0ongtoos, or an employee of a hiovaber ofCongrea in <br />carlonotion with this federal contract, grant loan, loan or cooperative "mont, the undersigned <br />shall complete mid submit a "Disclosure ofLobbying Activities", <br />This coolooAtion Is a material roprosontatIO" Of f4bt WA which reliance was plaood when.this transaction was made <br />or entered into.Submisslon ottlils cortMOMOO Is a Prerequisite for msWng Or entering into this transaction Imposed <br />byliecflonI352,71631, U.S. Code. Any person who falls to filothorequired cortilloatlonshalfbe subjeotto aoivll <br />penalty Of not lessAart $10,000 and not luorothan $100,000 forea0h sud� fallare. <br />11vo prospective partialpant also agrees by submitting his or hisr bid or proposal that. he or she shall mquIro tl* the <br />language of this cordflootion be Included In all lower tior sUbcontracts, which exceed $ 100,000 and that all such sub <br />recipients shall car" and alsoloie aisoordingty, <br />Firm <br />silurn <br />Title— a7 <br />Date <br />MF�of­Sinla —AnaRFP <br />Page A3-2 <br />25E-417 <br />