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i <br />Exhibit D <br />CERTIFICATION REGARDING LOBBYING <br />CERTIFICATION FOR CONTRACTS GRANTS LOANS <br />and COOPERATIVE AGREEMENTS <br />The undersigned certifies, to the best of his or her knowledge and belief, that: <br />1) No Federal appropriated funds have been paid or will be paid, by or on behalf <br />of the undersigned, to any person for influencing or attempting to influence <br />an officer or employee of an agency, a Member of Congress, an officer or <br />employee of Congress, or an employee: of a Member of Congress in <br />connection with the awarding of any Federal contracts, the making of any <br />Federal grant, the making of any Federal loan, the entering into of any <br />cooperative agreement, and the extension, continuation, renewal, <br />amendment or modification of any Federal contract, grant, loan or <br />cooperative agreement. <br />2) If any 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 employee of <br />Congress, or an employee 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 />Lobbying," in accordance with its instructions. <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 certify and disclose accordingly. <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. Any person who fails to file the required certification shall be <br />subject to a civil penalty of not less than $10,000 and not more that $100,000 for <br />each such failure. <br />,~ <br />Grantee/Contractor Organization ,Program Title <br />'~°~ ~ A 2009 Santa Ana <br />'~ ` ~ ~ ; ~,~ ~ t.__ Summer Jobs Program <br />Name oi~ Certifying Official ~ignature <br />~. <br />