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CERTIFICATIONS <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 <br />person for influencing or attempting to influence an officer or employee of an agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection <br />with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal <br />loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, <br />or modification of any Federal contract, grant, 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 <br />influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an <br />officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal <br />contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form- <br />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 <br />all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and <br />cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification <br />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 <br />imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be <br />subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. <br />Statement for Loan Guarantees and Loan Insurance <br />The undersigned states, to the best of his or her knowledge and belief, that: <br />If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or <br />employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a <br />Member of Congress in connection with this commitment providing for the United States to insure or guarantee <br />a loan, the undersigned shall complete and submit Standard Form-LLL, <br />"Disclosure Form to Report Lobbying," in accordance with its instructions. Submission of this statement is a <br />prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any <br />person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not <br />more than $100,000 for each such failure. <br />As required by Executive Order 12549, Debarment and Suspension, and implemented at 44 CFR, Part 17: <br />A. The applicant certifies that it and its principals: <br />(1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a <br />denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered <br />transactions by any Federal department or agency; <br />(2) Have not within a three-year period preceding this application been convicted of or had a civil <br />judgment rendered against them for commission of fraud or a criminal offense in connection with <br />obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or <br />contract under a public transaction; violation of Federal or State antitrust statutes or commission of <br />embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, <br />or receiving stolen property; <br />