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POLITICAL ACTIVITY (HATCH ACT) <br />(applies to subrecipients as well as States) <br />The State will comply with provisions of the Hatch Act (5 U.S.C. 1501-1508), which limits the political activities of <br />employees whose principal employment activities are funded in whole or in part with Federal funds. <br />CERTIFICATION REGARDING FEDERAL LOBBYING <br />(applies to subrecipients as well as States) <br />Certification for Contracts, Grants, Loans, and Cooperative Agreements <br />The undersigned certifies, to the best of his or her knowledge and belief, that: <br />1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person <br />for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or <br />employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal <br />contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative <br />agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, <br />loan, or cooperative agreement; <br />2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or <br />attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of <br />Congress, or an employee of a Member of Congress in connection with <br />this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit <br />Standard Form -LLL, "Disclosure Form to Report Lobbying,' in accordance with its instructions; <br />3. The undersigned shall require that the language of this certification be included in the award documents for all <br />sub -award at all tiers (including subcontracts, subgrants, and contracts under grant, loans, and cooperative <br />agreements) and that all subrecipients shall certify and disclose accordingly. <br />This certification is a material representation of fact upon which reliance was placed when this transaction was made or <br />entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by <br />section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil <br />penaltyof not less than $10,000 and not more than <br />$100,000 for each such failure, <br />RESTRICTION ON STATE LOBBYING <br />(applies to subrecipients as well as States) <br />None of the funds under this program will be used for any activity specifically designed to urge or influence a State or <br />local legislator to favor or oppose the adoption of any specific legislative proposal pending before any State or local <br />legislative body. Such activities include both direct and indirect (e.g., "grassroots") lobbying activities, with one <br />exception. This does not preclude a State official whose salary is supported with NHTSA funds from engaging in direct <br />communications with State or local legislative officials, in accordance with customary State practice, even if such <br />communications urge legislative officials to favor or oppose the adoption of a specific pending legislative proposal. <br />CERTIFICATION REGARDING DEBARMENT AND SUSPENSION <br />(applies to subrecipients as well as States) <br />Instructions for Primary Tier Participant Certification (States) <br />1. By signing and submitting this proposal, the prospective primary tier participant is providing the certification set <br />out below and agrees to comply with the requirements of 2 CFR parts 180 and 1200. <br />8/27/2018 8:35:25 AM <br />20A-14 <br />Page 12 of 15 <br />