Laserfiche WebLink
<br />Certification Regarding Lobbying <br /> <br />Certifi,_,!!ign for Contracts, Grants, Loans, and Coopcrativc Agrcements <br /> <br />The undersigned certifies, to the best of his or her knowledge and belief, that: <br /> <br />(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, <br />to any person for influencing or attempting to intluence an officer or employee of any agency, a <br />Member of Congress, 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 making of any Federal <br />grant, the making of any Federal loan, the entering into of any cooperative agreement, and the <br />extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, <br />or cooperaive agreement. <br /> <br />(2) If any funds other than Federal appropriated fWlds have been paid or will be paid to any person for <br />influencing or attempting to intluence an officer or employee of any agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in <br />cOlUlection with this Federal contract, grant, loan, or cooperative agreement, the wldersigned shall <br />complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance <br />with its instructions. <br /> <br />(3) The undersigned shall require that the language of this certification be included in the award <br />documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under <br />grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose <br />accordingly. <br /> <br />This certification is a material representation of fact upon which reliance was placed when this <br />transaction was made or entered into. Submission of this certification is a prerequisite for making <br />or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who <br />fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and <br />not more than $100,000 for each such failure. <br /> <br />dram f( <br /> <br />Grantee/Contractor Organization <br /> <br /> <br /> <br />Pell's W/"u( lve-llA./o,-( <br />Program Title <br /> <br /> <br />R.c "'"KA 'ff I ~.s t# <br /> <br />Signature <br /> <br />lex <br /> <br /> <br />Date <br /> <br />EXHIBIT D <br />Part I <br />