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DocuSign Envelope ID:6F1378EE-84DB-45B0-90DE-C39BA2077B34
<br /> Office of the Clerk to the Board Date:
<br /> (Required to be signed if the contract is
<br /> $100,000 or more)
<br /> APPENDIX A, 44 C.F.R. PART 18—CERTIFICATION REGARDING 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 /> I. 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 /> an agency, a Member of Congress, an 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
<br /> 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
<br /> Federal contract, grant, loan, or cooperative agreement.
<br /> 2. 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
<br /> Member of Congress,an officer or employee of Congress,or an employee of a Member of
<br /> Congress in connection with this Federal contract, grant, loan, or cooperative agreement,
<br /> 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 /> 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
<br /> or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who
<br /> fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and
<br /> not more than $100,000 for each such failure.
<br /> The Provider,Final Passage, certifies or affirms the truthfulness and accuracy of each statement
<br /> of its certification and disclosure, if any. In addition, the Provider understands and agrees that
<br /> the provisions of 31 U.S.C.Chap. 38,Administrative Remedies for False Claims and Statements,
<br /> apply to this certification and disclosure, if any.
<br /> OacuSigned by:
<br /> Signature of-pro06C8758226A3429...
<br /> viu�a J tiuLllVllGGu ki ficlal
<br /> Raven Coleman, President
<br /> Printed Name and Title of Provider's Authorized Official
<br /> 4/28/2020
<br /> Date
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