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101 <br />Car 0ES <br />GOVERNOR'S OFFICE <br />OF EMERGENCY SERVICES <br />Certification Regarding Lobbying <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 <br />behalf of the undersigned, to any person for influencing or attempting to <br />influence an officer or employee of an agency, a Member of Congress, <br />an officer or employee of Congress, or an employee of a Member of <br />Congress in connection with the awarding of any Federal contract, the <br />making of any Federal grant, the making of any Federal loan, the entering <br />into of any cooperative agreement, and the extension, continuation, <br />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 <br />be paid to any person for influencing or attempting to influence an officer <br />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 <br />connection with this Federal contract, grant, loan, or cooperative <br />agreement, the undersigned shall complete and submit Standard Form- <br />LLL, 'Disclosure of Lobbying Activities,' in accordance with its instructions. <br />3. The undersigned shall require that the language of this certification be <br />included in the award documents for all subawards at all tiers (including <br />subcontracts, subgrants, and contracts under grants, loans, and <br />cooperative agreements) and that all subrecipients shall certify and <br />disclose accordingly. <br />This certification is a material representation of fact upon which reliance was <br />placed when this transaction was made or entered into. Submission of this <br />certification is a prerequisite for making or entering into this transaction imposed <br />by section 1352, title 31, U.S. Code. Any person who fails to file the required <br />certification 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 />Page 1 of 2 Initials; C. <br />