Laserfiche WebLink
<br />Certification Regarding Lobbying <br /> <br />Certification for Contracts, Grants, Loans, and Cooperative Agreements <br /> <br />The undersigned certifies, to the best of his or her knowledge and belief, that: <br /> <br />(I) No Federal appropriated funds 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 />employee of any agency, a Member of Congress, an officer or employee of Congress, or <br />an employee ofa Member of Congress in connection with the awarding of any Federal <br />contract, the making of any cooperative agreement, and the extension, continuation, <br />renewal, amendment, or modification of any Federal contact, grant, loan or cooperative <br />agreement. <br /> <br />(2) If any funds other than Federal appropriated funds have been paid or will be paid to <br />any person for influencing or attempting to influence an officer 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 ofthis 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 subrccipients 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 or entered into. Submission of this certification is a <br />prerequisite for making or entering into this transaction imposed by Section 1352, Title <br />31, U, S, Code. Any person who fails to file the required certification shall be subject to <br />a civil penalty of not less than SIO,OOO and not more than S100,000 for each such failure. <br /> <br />--m-s ~Wh-~S {i1~~ <br />Grantee/Contactor Organization <br /> <br />lfP CUGTV~ A-fG1 <br /> <br />Program Title <br /> <br />11hH rJ CrV1 crJ <br /> <br />Name of Certifying Officer <br /> <br />ilifA1~ <br />Signatu <br /> <br />Date <br /> <br />EXHIBIT C <br />Page I of2 <br />