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V . <br />Certification Regarding Lobbying <br />Certification for Contracts, Grants. L oa"s_ allxd Cooperatiye_LKKee-ents <br />The undersigned certifies., to the best of his or her knowledge and belief, that: <br />(1) lio 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 any agency. a Member of Congress, an officer_ <br />or employee of Congress, or an employe of a Member of Congress in connect -ion with <br />the awarding of any Federil contract, the making of any Federal grant, the making <br />of any Federal loan, the entering into of any cooperative agreement, and the <br />extension, continuation.. renewal, amendmeut. Or. modification of any Federal - <br />contract. grant, loan, or cooperative agreement. <br />(2) If any funds Other than Federal appropriated funds. have been pal . d or will <br />be paid to any Person for influencing or attempting -to influence an 'Officer or <br />employee Of any agency, . a Hember Of Congress. - an officer or employee of Congress . <br />or an employee of a Member of- CongressL in connection Vitil this Federal contract., <br />grant, loan, or cooperative agreement, the undersigned shall complete and submit <br />Standard Form -III,. "Disclosure Form to Report Lobbying," in accordanee with Its <br />instructions. <br />(3) The undersigned shall require. that the .- langvage of this certification be <br />included in the award documents for all subavards at' an. tiers (including <br />subcontracts, . subgrants,. and. contracts xmder grants. Joan , and Acoop4elratjve <br />agreements) and that all subrecipieuts Shall certify and disclose accordingly. <br />This certification is a material representation of -fact - upon which reliance was <br />placed vlie-a - this transaction- was - made or entered into. � :Submission Of this <br />,certification is a -prerequisite for maid or entering into this transaction <br />imposed by- section. 1352. title 31, U-S. Code. - Any person who- falls <br />to. -file the <br />required certification shall be subject to 'a civil penalty of not less than. <br />$10,000 and not more than $100,000 for each such -failure. <br />Grantee/Contractor Organization <br />EYdiIBIT C <br />Program Title <br />