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<br />Certilication Regarding Lobbying <br /> <br />Certification for Contracts, Grants. Loans, ami Cooperativc Agreements <br /> <br />The undersigned certifies, to the best of his or ber knowledge and belief, that: <br /> <br />(I) No Federal appropriated lunds have been paid or will be paid, by or on behalf of the <br />undersigned, to any person for influencing or attempting to influence an officer or <br />employec of any agency, a Member of Congress, an officer or employee of Congress, or <br />an cmployee of a Member of Congress in cOlmection witb the awarding of any Federal <br />contract. the making of any cooperative agreement, and the extension, continuation, <br />renewal, amendment, or modilleation of any Federal contact, grant, loan or cooperative <br />agreement. <br /> <br />(2) If any funds other than Federal appropriated funds bave been paid or will bc paid to <br />any person for influencing or attempting to influence an omcer or employee of any <br />agency, a Member of Congress, an officer or employee of Congress, or an employee of a <br />Member of Congress in connection with this Federal contract, grant, loan, or cooperative <br />agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure <br />Form to Report Lobbying," in accordance with its instructions. <br /> <br />(3) The undersigned shall require that the language of this certification be included in the <br />award documents for all subawards at all tiers (including subcontract, subgrants, and <br />contracts under grants, loans, and cooperative agreements) and that all subrecipients shall <br />certify and disclose accordingly. <br /> <br />This certification is a material representation of fact upon which reliance was placed <br />when this transaction was made Of entered into. Submission of this certification is a <br />prerequisite for making or entering into this transaction imposed by Section 1352, Title <br />31, lJ. S. Code. Any person who fails to lile the required certification shall be subj cct to <br />a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. <br /> <br />Otl>rlG.!: <.o",.I"'Y. llur1l',J ~;;Q"'; UN...".... <br />Grantee/Contactor Organization <br /> <br />P,S/\ll":c ~~""f,/f/4"" ~~",.t.A.H. <br />Program Title <br /> <br />j!.L_fcu.J5o c~...~ <br />Name of Certifying Omcer <br /> <br />~ <br /> <br />nature . . <br /> <br />~;/'1/o';' <br />. . <br />Date <br /> <br />EXHIBIT C <br />Page I of2 <br />