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<br />Contract Number 00027858 / Page 29 of 33
<br />V. Certification Regarding Lobbying
<br />The Provider certifies, to the best of his or her knowledge and belief, that:
<br />L 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, continuation, renewal, amendment, or modification of any Federal 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 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 Federally funded contract, grant, loan, or
<br />cooperative agreement, the undersigned shall complete and submit Standard Form SF -LLL, "Disclosure of Lobbying
<br />Activities," in accordance with its instructions,
<br />3. The undersigned shall require that the language of this certification be included in the award document for subawards
<br />at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) who
<br />receive federal funds of $100,000.00 or more and that all subrecipients shall certify and disclose accordingly
<br />4. This certification is a material representation of fact upon which reliance was placed when this transaction was made
<br />or 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
<br />penalty of not less than $10,000,00 and not more than $100,000 00 for each such failure
<br />VI. Disclosure Of Lobbying Activities
<br />Instructions
<br />This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the
<br />initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U. S. C.. section
<br />1352 The filing of a form is required for each payment or agreement to make payment to any lobbying entity 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 a covered Federal action. Use the
<br />SF -LLL -A Continuation Sheet for additional information if the space on the form is inadequate Complete all items that
<br />apply for both the initial filing and material change report, Refer to the implementing guidance published by the Office of
<br />Management and Budget for additional information..
<br />I. Identify the type of covered Federal action for which lobbying activity is and /or has been secured to influence the
<br />outcome of a covered Federal action
<br />2 Identify the status of the covered Federal action
<br />3. Identify the appropriate classification of this report,. if this is a follow -up report caused by a material change to the
<br />information previously reported, enter the year and quarter in which the change occurred Enter the date of the last
<br />previously submitted report by this reporting entity for this covered Federal action
<br />4. Enter the full name, address, city, state and zip code of the reporting entity Include Congressional District, if known
<br />Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or sub -
<br />award recipient. Identify the tier of the subawardee, e.g.., the first subawardee of the prime is the 1st tier Subawards
<br />include but are not limited to subcontracts, subgrants and contract awards under grants
<br />5.. if the organization filing the report in Item 4 checks "Subawardee ", then enter the full name, address, city, state and
<br />zip code of the prime Federal recipient Include Congressional District, if known.
<br />6.. Enter the name of the Federal agency making the award or loan commitment Include at least one organizational
<br />level below agency name, if known For example, Department of Transportation, United States Coast Guard,
<br />
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