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07/23/2014 02:58 FAX <br />sro4 <br />Certification Regarding Lobbying <br />Certification for C.'ontracts'Grants. L oans,and Cooperative A grew is <br />The undersigned certifies, to the best of his or her knowledge and beli,f that: <br />(1) No Federal appropriated funds have been paid or will be paid, by or oo behal of the <br />undersigned, to any person for influencing or attempting to influence an officer or-niployee of <br />any agency, a Member of Congress, an officer or employee of Congress, or an ern loyee of a <br />Member of Congress in connection with the awarding of any Federal contract, the raking of any <br />cooperative agreement, and the extension, continuation, renewal, amendment, or t odification of <br />any Federal contact, grant, loan or cooperative agreement. <br />(2) if any funds other than Federal appropriated funds have been paid or will be f .id to any <br />person for influencing or attempting to influence an officer or employee of any ag ncy, a <br />Member of Congress, an officer or employee of Congress, or an employee of a M libel -of <br />Congress in connection with this Federal contract, grant, loan, or cooperative agrc went, the <br />undersigned shall complete and submit Standard Form-LLL, "Disclosure Fomi to report <br />Lobbying," in accordance with its instructions. <br />(3) The undersigned shall require that the language of this certification be include I in the award <br />documents for all subawards at all tiers (including subcontract, subgrants, and con -acts under <br />grams, loans, and cooperative agreements) and that all subrecipients shall certify, id disclose <br />accordingly. <br />This certification is a material representation of fact upon which reliance was plat d when this <br />transaction was made or entered into. Submission of this certification is a prerequ ;itc for <br />making or entering into this transaction imposed by Section 1352,'ritl.: 31, U. S. t ode. Any <br />person who fails to file the required certification shall be subject to a civil penalty if not less <br />than $10,000 and not more than $1.00,000 for each such failure. <br />/V kT/u JJ/k- <br />Grantee/Contactor Organization <br />l ^ tloLA4-'- <br />Name of Certifying Officer <br />r <br />he,}pe s,.y of �NT� <br />Progrx i Titic <br />Signature -- -- - — Date <br />EXHBIT C <br />Page 1 of 2 <br />17 <br />Ph*C-d:Y' <br />