Laserfiche WebLink
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 behalf of the under- <br />signed, to any person for influencing or attempting to influence an officer or employee of any <br />agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member <br />of Congress in connection with the awarding of any Federal contract, the making of any coopera- <br />tive agreement, and the extension, continuation, renewal, amendment, or modification of any <br />Federal contact, grant, loan or cooperative agreement. <br />(2) If any funds other than Federal appropriated funds have been paid or will be paid to any per- <br />son for influencing or attempting to influence 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 con- <br />nection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall <br />complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance <br />with its instructions. <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 subcontract, subgrants, and contracts under <br />grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose <br />accordingly. <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 mak- <br />ing or entering into this transaction imposed by Section 1352, Title 31, U. S. Code. Any person <br />who fails to file the 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 />&Z <br />Program Title <br />Name of Certifying Officer Signature Date <br />EXHIBIT C <br />Page 1 of 2 <br />24 <br />