CERTIFICATION REGARDING FEDERAL LOBBYING
<br />Certification for Contracts, Grants, Loans, 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 of the undersigned, to any person for
<br />influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or
<br />employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal
<br />contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative
<br />agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan,
<br />or cooperative agreement.
<br />2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or
<br />attempting to influence an officer or 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 Federal contract, grant, loan, or
<br />cooperative agreement, the undersigned shall 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 included in the award documents for all sub -
<br />award at all tiers (including subcontracts, sub -grants, and contracts under grant, loans, and cooperative agreements)
<br />and that all sub -recipients shall certify and disclose accordingly.
<br />This certification is a material representation of fact upon which reliance was placed when this transaction was made or
<br />entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by
<br />section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty
<br />of not less than $10,000 and not more than $100,000 for each such failure.
<br />RESTRICTION ON STATE LOBBYING
<br />None of the funds under this program will be used for any activity specifically designed to urge or influence a State or
<br />local legislator to favor or oppose the adoption of any specific legislative proposal pending before any State or local
<br />legislative body. Such activities include both direct and indirect (e.g., "grassroots") lobbying activities, with one
<br />exception. This does not preclude a State official whose salary is supported with NHTSA funds from engaging in direct
<br />communications with State or local legislative officials, in accordance with customary State practice, even if such
<br />communications urge legislative officials to favor or oppose the adoption of a specific pending legislative proposal.
<br />CERTIFICATION REGARDINGDEBARMENT AND SUSPENSION
<br />Instructions for Primary Certification
<br />1. By signing and submitting this grant agreement, the Grantee Agency Official is providing the certification set out
<br />below.
<br />2. The inability of a person to provide the certification required below will not necessarily result in denial of
<br />participation in this covered transaction. The prospective participant shall submit an explanation of why it cannot
<br />provide the certification set out below. The certification or explanation will be considered in connection with the
<br />department or agency's determination whether to enter into this transaction. However, failure of the Grantee
<br />Agency Official to furnish a certification or an explanation shall disqualify such person from participation in this
<br />transaction.
<br />3. The certification in this clause is a material representation of fact upon which reliance was placed when the
<br />department or agency determined to enter into this transaction. If it is later determined that the Grantee Agency
<br />Official knowingly rendered an erroneous certification, in addition to other remedies available to the Federal
<br />Government, the department or agency may terminate this transaction for cause or default.
<br />4. The Grant Agency Official shall provide immediate written notice to the department or agency to which this grant
<br />agreement is submitted if at any time the Grantee Agency Official learns its certification was erroneous when
<br />submitted or has become erroneous by reason of changed circumstances.
<br />5. The terns covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant,
<br />person, primary covered transaction, principal, grant agreement, and voluntarily excluded, as used in this clause,
<br />have the meaning set out in the Definitions and coverage sections of 49 CFR Part 29. You may contact the
<br />department or agency to which this grant agreement is being submitted for assistance in obtaining a copy of those
<br />regulations.
<br />6. The Grantee Agency Official agrees by submitting this grant agreement that, should the proposed covered
<br />transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who
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