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<br />Exhibit D <br /> <br />CERTIFICATIOI~ REGLlRDI!~G LOBBYII~G <br /> <br />cmTIFICATION FOR COI~TRACTS GRANTS, LOAI~S <br />and COOPERATIVE AGREErv1EI~TS <br /> <br />The undersigned certifies, to the best of his or her knowledge and belief, that: <br /> <br />11 !~o Federal apprDpriated funds have been paid Dr will be paid, bV or on behalf <br />of the undersigned, to anv person fDr influencing Dr attempting to influence <br />an officer Dr emplDvee of an agencv, a lv1ember Df Congress, an officer or <br />emplovee of CDngress, Dr an emplovee of a Member of Congress in <br />connection with the awarding Df anv Federal contracts, the making of anv <br />Federal grant, the making of anv Federal loan, the entering into of anv <br />cDoperative agreement, and the extension, CDntinuation, renewal, <br />amendment or mDdification of anv Federal contract, grant, loan or <br />CDoperative agreement. <br /> <br />21 If anv funds other than Federal appropriated funds have been paid or will be <br />paid to anv person for influencing or attempting to influence an officer or <br />emplovee of anv agencv, a IVlember of Congress, an officer or emplovee of <br />CDngress, or an emplovee of a Member of Congress in connectiDn with this <br />Federal cDntract, grant, IDan Dr CDDperative agreement, the undersigned shall <br />cDmplete and submit Standard FDrm - LLL, "DisclDsure FDrm tD Report <br />LDbbVing," in accDrdance with its instructiDns, <br /> <br />3) The undersigned shall require that the language Df this certificatiDn be <br />included in the award dDcuments fDr all subawards at all tiers (including <br />agreementsl and that all subrecipients shall certifv and disclose accordinglv, <br /> <br />This certificatiDn is a material representatiDn Df fact upDn which reliance was <br />placed when this transactiDn was made Dr entered intD, SubmissiDn Df this <br />certification is a prerequisite fDr making Dr entering into this transactiDn impDsed bV <br />31 U,S.C, 1352. Any persDn whD fails tD file the required certificatiDn shall be <br />subject tD a civil penalty of not less than $10,000 and not more that $100,000 fDr <br />each such failure, <br /> <br />GranteelCoqyactor Organization <br />" <br />'\ <br /> <br />PrDgram Title <br /> <br />c \ / <br />/ <br />Name Drti;:.nng Official Signature <br /> <br />./ <br /> <br />C't~{ ~i:~J ~J-c,l--- <br />