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ATTACHMENT D - <br />NON-LOBBYING CERTIFICATION <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her <br />knowledge and belief, that: <br />(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any <br />person for influencing or attempting to influence an officer or employee of any Federal agency, a Member <br />of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection <br />with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal <br />loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, <br />amendment, or modification of any Federal contract, grant, loan, or cooperative agreement- <br />(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for <br />Federal agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection <br />with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and <br />submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions- <br />This certification is a material representation of fact upon which reliance was placed when this transaction was <br />made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction <br />imposedbySectionl352,Title31,U.S.Code. Anypersonwhofailstofiletherequiredcertificationshal)besubject <br />to a civil penalty of not less than 510,000 and not more than !>100,000 for each such failure. <br />The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that <br />the language of this certification be included in all lower tier subcontracts, which exceed 5100,000 and that all <br />such subrecipients shall certify and,dis%ose acYdin!!A, , <br />Signed: <br />e 1,4r,, (2asvt 't <br />Date: <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM Wlu BE CONSIDERED NONRESPONSIVE.