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Contract#68-2001
<br /> Northen Blue,L.L.P.
<br /> ATTACHMENT G
<br /> CERTIFICATION REGARDING LOBBYING
<br /> Orange County Department of Social Services
<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
<br /> any person for influencing or attempting to influence an officer or employee of any Federal,state or
<br /> local government agency,a Member of Congress,a Member of the General Assembly,an officer or
<br /> employee of Congress,an officer or employee of the General Assembly,an employee of a Member
<br /> of Congress,or an employee of a Member of the General Assembly in connection with the awarding
<br /> of any Federal or state contract,the making of any Federal or state grant,the making of any Federal
<br /> or state loan,the entering into of any cooperative agreement,and the extension,continuation,
<br /> renewal,amendment,or modification of any Federal or state contract,grant, loan,or cooperative
<br /> agreement.
<br /> (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
<br /> influencing or attempting to influence an officer or employee of any Federal,state or local
<br /> government agency,a Member of Congress,a Member of the General Assembly,an officer or
<br /> employee of Congress,an officer or employee of the General Assembly,an employee of a Member
<br /> of Congress,or an employee of a Member of the General Assembly in connection with the awarding
<br /> of any Federal or state contract,the making of any Federal or state grant,the making of any Federal
<br /> or state loan,the entering into of any cooperative agreement,and the extension,continuation,
<br /> renewal,amendment,or modification of any Federal or state contract,grant, loan,or cooperative
<br /> agreement,the undersigned shall complete and submit Standard Form LLL, "Disclosure Form to
<br /> Report Lobbying," in accordance with its instructions.
<br /> (3) The undersigned shall require that the language of this certification be included in the award
<br /> documents for all subawards at all tiers(including subcontracts,subgrants,and contracts under
<br /> grants,loans,and cooperative agreements)and that all subrecipients shall certify and disclose
<br /> accordingly.
<br /> (4) This certification is a material representation of fact upon which reliance was placed when this
<br /> transaction was made or entered into. Submission of this certification is a prerequisite for making or
<br /> entering into this transaction imposed by Section 1352,Title 31,U.S. Code. Any person who fails
<br /> to file the required certification shall be subject to a civil penalty of not less than$10,000 and not
<br /> more than$100,000 for each such failure.
<br /> Notwithstanding other provisions of federal OMB Circulars A-122 and A-87,costs associated with the
<br /> following activities are unallowable:
<br /> Paragraph A.
<br /> (1) Attempts to influence the outcomes of any Federal,State,or local election,referendum,initiative,or
<br /> similar procedure,through in kind or cash contributions,endorsements,publicity,or similar activity;
<br /> (2) Establishing,administering,contributing to,or paying the expenses of a political party,campaign,
<br /> political action committee,or other organization established for the purpose of influencing the
<br /> outcomes of elections;
<br /> (3) Any attempt to influence: (i)The introduction of Federal or State legislation;or(ii)the enactment or
<br /> modification of any pending Federal or State legislation through communication with any member
<br /> or employee of the Congress or State legislature(including efforts to influence State or local
<br /> Federal Certification—Lobbying(07/08) Page 1 of 3
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