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DocuSign Envelope ID:871596FB-EB3F-4768-BC79-A5D9ADF74E87
<br /> 2. Lobbying
<br /> Title 31 of the United States Code, Section 1352, entitled"Limitation on use of appropriated funds to
<br /> influence certain Federal contracting and financial transactions, generally prohibits recipients of Federal
<br /> grants and cooperative agreements from using Federal (appropriated)funds for lobbying the Executive or
<br /> Legislative Branches of the Federal Government in connection with a SPECIFIC grant or cooperative
<br /> agreement. Section 1352 also requires that each person who request or received a Federal grants or
<br /> cooperative agreement must disclose lobbying undertaking with non-Federal(non-appropriated)funds.
<br /> These requirements apply to grants and cooperative agreements EXCEEDING$100,000 in total costs
<br /> (45 CFR Part93).
<br /> The undersigned (authorized official)certifies, to the best of his or her knowledge and belief,that:
<br /> (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the
<br /> undersigned, to any person for influencing or attempting to influence an officer or employee of
<br /> any agency, a member of Congress, any officer or employee of Congress, or an employee of a
<br /> Member of Congress in connection with the awarding of any Federal contract, the making of any
<br /> Federal grant,the making of any Federal loan, the entering into of any cooperative agreement,
<br /> and the extension,continuation, renewal, amendment, or modification of any Federal grant, loan
<br /> or cooperative agreement;
<br /> (b) If any funds other than Federal appropriated funds have been paid or will be paid to any
<br /> person for influencing or attempting to influence an officer or employee of any agency,a Member
<br /> of Congress, an officer or employee of Congress, or an employee of a Member of Congress in
<br /> connection with this Federal contract, grant, loan or cooperative agreement, the undersigned
<br /> shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in
<br /> accordance with its instructions;
<br /> (c)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,contracts and
<br /> contracts under grants, loans and cooperative agreements)and that all subrecipients shall certify
<br /> and disclose accordingly.
<br /> This certification is a material representation of fact upon which reliance was placed when this transaction
<br /> was made or entered into. Submission of this certification is a prerequisite for making or entering into this
<br /> transaction imposed by section 1352,title 31, U.S. Code.Any person who fails to file the required
<br /> certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for
<br /> each such failure.
<br /> 3.Debarment,Suspension and Other Responsibility Matters
<br /> NOTE: In accordance with 45 CFR Part 76, amended June 26, 1995, any debarment, suspension,
<br /> proposed debarment or other government wide exclusion initiated under the Federal Acquisition
<br /> Regulation (FAR)on or after August 25, 1995,shall be recognized by and effective for Executive Branch
<br /> agencies and participants as an exclusion under 45 CFR Part 76.
<br /> (a)Primary Covered Transactions
<br /> The undersigned (authorized official)certifies to the best of his or her knowledge and belief, that
<br /> the applicant, defined as the primary participant in accordance with 45 CFR Part 76, and its
<br /> principals:
<br /> (1)are not presently debarred, suspended, proposed for debarment, declared ineligible,or
<br /> voluntarily excluded by any Federal department or agency;
<br /> (2) have not within a 3-year period preceding this proposal been convicted of or had a civil
<br /> judgment rendered against them for commission of fraud or a criminal offense in connection with
<br /> obtaining, attempting to obtain, or performing a public(Federal, State or local)transaction or
<br /> contract under a public transaction;violation of Federal or State antitrust statutes or commission
<br /> of embezzlement,theft,forgery, bribery,falsification or destruction of records, making false
<br /> statements, or receiving stolen property;
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