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Local Assistance Procedures Manual <br />2. Where the prospective lower tier participant is unable to certify to <br />any of the statements in this certification, such prospective <br />participant shall attach an explanation to this proposal. <br />XI. CERTIFICATION REGARDING USE OF CONTRACT FUNDS <br />FOR LOBBYING <br />This provision is applicable to all Federal -aid construction contracts <br />and to all related subcontracts which exceed $100,000 (49 CFR 20). <br />1. The prospective participant certifies, by signing and submitting <br />this bid or proposal, to the best of his or her knowledge and belief, <br />that: <br />a. No Federal appropriated funds have been paid or will be paid, <br />by or on behalf of the undersigned, to any person for influencing or <br />attempting to influence an officer or employee of any Federal <br />agency, a Member of Congress, an officer or employee of Congress, <br />or an employee of a Member of Congress in connection with the <br />awarding of any Federal contract, the making of any Federal grant, <br />the making of any Federal loan, the entering into of any cooperative <br />agreement, and the extension, continuation, renewal, amendment, <br />or modification of any Federal contract, grant, loan, or cooperative <br />agreement. <br />b. If any funds other than Federal appropriated funds have been <br />paid or will be paid to any person for influencing or attempting to <br />influence an officer or employee of any Federal agency, a Member <br />of Congress, an officer or employee of Congress, or an employee of <br />a Member of Congress in connection with this Federal contract, <br />grant, loan, or cooperative agreement, the undersigned shall <br />complete and submit Standard Form -LLL, "Disclosure Form to <br />Report Lobbying," in accordance with its instructions. <br />2. This certification is a material representation of fact upon which <br />reliance was placed when this transaction was made or entered into. <br />Submission of this certification is a prerequisite for making or <br />entering into this transaction imposed by 31 U.S.C. 1352. Any <br />person who fails to file the required certification shall be subject to a <br />civil penalty of not less than $10,000 and not more than $100,000 <br />for each such failure. <br />3. The prospective participant also agrees by submitting its bid or <br />proposal that the participant shall require that the language of this <br />certification be included in all lower tier subcontracts, which exceed <br />$100,000 and that all such recipients shall certify and disclose <br />accordingly. <br />City # 15-6830 <br />FED # HSIPL 5063(154) <br />Exhibit 12-G <br />Required Federal -aid Contract Language <br />Page 17 of 22 <br />DLA -OB 13-06 August 12, 2013 <br />