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<br />Exhibit ]) <br /> <br />CERTIFICATIOI~ REGARDII~G LOBBYII~G <br /> <br />CERTIFICATIOI~ FOP. CONTP,ACTS GP,AI~TS. LDAI~S <br />and COOPER/I.TIVE AGREEMEIHS <br /> <br />The undersigned ~ertifies. to the best of his or her Icnowledge and belief. that: <br /> <br />1! I~o Federal appropriated funds have been paid or will be paid. bV or on behalf <br />of the undersigned. to anv person for influencing or attempting to influence <br />an officer or emplovee of an agencv. a Member of Congress, an officer or <br />emplovee of Congress, or an employee of a Member of Congress in <br />connection with the awarding of anv Federa: contracts. the making of anv <br />Federal grant. tile making of any Federal loan. the enterillg into of anv <br />cooperative agreement. and the extension. continuation, renewal, <br />amendment or modification of any Federal contract, grant, loan or <br />cooperative agreement. <br /> <br />2) If anv funds other than Federal appropriated funds have been paid or will be <br />paid to any person for influencing or attempting to influence an officer or <br />employee of any agency, a Member of Congress, an officer or emplovee of <br />Congress, or an emplovee of a Member of Congress in connection with this <br />Federal contract, grant. loan or cooperative agreement, the undersigned shall <br />complete and submit Standard Form - LLL, "Disclosure Form to Report <br />LobbVing," ir, accordance with its instructions. <br /> <br />3) The undersigned shall require that the language of this certification be <br />included in the award documents for all subawards at all tiers (including <br />agreements) and that all subrecipients shall certifv and disclose accordingly. <br /> <br />This certification is a material representation of fact upon which reliance was <br />placed when this transaction was made or entered into. Submission of this <br />certification is a prerequisite for making or entering into this transaction imposed by <br />31 U.S.C. 1352. Anv person who fails to file the required certification shall be <br />subject to a civil penaltv of not less than $10,000 and not more that $100,000 for <br />each such failure. <br /> <br />0. (... c.-,,;\tl(~rl'~ "" LV '" i' ~v ~'c- <br />A.,,,,> 0:.", \-'-' <br />Name of Certifving Official Signature <br /> <br />Program Title <br /> <br />O--Clr~' <br /> <br />Grantee/Contractor Organization <br />