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CAMBODIAN FAMILY, THE 7 - 2005
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CAMBODIAN FAMILY, THE 7 - 2005
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Last modified
1/3/2012 3:07:53 PM
Creation date
10/7/2005 4:24:03 PM
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Contracts
Company Name
Cambodian Fanily, The
Contract #
A-2005-189
Agency
Community Development
Council Approval Date
7/18/2005
Expiration Date
6/30/2006
Insurance Exp Date
3/9/2007
Destruction Year
2011
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<br />Certification Regarding Lobbying <br /> <br />Certification for Contracts. Grants. Loans. and Coonerative Aereements <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 influence 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 funds have been paid or will be paid to any person for <br />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 <br />connection 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 /> <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 offact 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 />TI-..e.... G'l......bcx!,Q.V1, h..rl.-1;t., <br />Grantee/Contractor Organization ( <br /> <br />{/qis'tr w~eel ivd<v~ <br />rogram Title <br /> <br />12~ <br /> <br />Name of CertifYing Officer <br /> <br /> <br /> <br /> <br />EXHIBIT D <br />Part [ <br />
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