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Certification Regarding Lobbying <br />Certificatianf o tracts �iranf Loans acid Caa crati eA dements <br />The undersigned certifies, to the best of his or her knowledge and belief, that: <br />(l) No Federal appropriated funds have been paid or will be staid, by or on, bolialf of the <br />undersigned, to any person For influencing or attempting to h'illucitce an officer or <br />employee ofany agency, aMember of Congress, an officer or employee of Congress, Or <br />an employee of a Member of Go givss in cotnteciiorl with the awarding of any Federal <br />contract, the making of any cooperative agrocmbri p and the extension, vontitioution, <br />renewal, amendment, ormodification of any Federal coutaet4 grant, loan. or cooperative <br />agreement, <br />(2) lfany funds r)ther than Federal appropriated funds have been paid or will be paid to <br />any person for influencing or attempting to influence an officer or employee of ray <br />agency, it Member of Congress, an offrcer° or employee of Congress, or ail employee of a <br />Member of iicsr gt'ess in connection with this Federal contract, grant; loam or cooperative <br />agreement, tho undersigned shall complete and Submit Standard Vorin-La, "Disclosure <br />Form to Report Lobbying," in acco#tlan o wlth its instructions, <br />(3) The undersigned shall require that tits language of this certification be included in the <br />award documents for all subawards at all tiers (including subcontract; subgrants, anal <br />contracts under grants,, loans, and cooperative agreements) and that all subreeipients shall <br />certify and disclose accordingly, <br />This certification is a material representationoffact upon which reliance was placed <br />when this transaction was trade or entered into. gubniission of this certifrcatiaa is u <br />prerequisite for making or entering into this transaction imposed by $action 1352, Title <br />31, U, S. Code, Any person'rho fails to ftle the required certification shall be subject to <br />a civil penalty of not less than ,%1 d,000 and not more than $100,000 for each such failure. <br />WISEPIace Steps to Independence <br />GranteelCoatactor Organization Program Title <br />I7Fiiall.Gl� , <br />Name <br />MUBIfD <br />Page 1 of2. <br />Date <br />