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DocuSign Envelope ID:3A1F6DBE-9DE9-4D2A-8362-CC716842D771
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<br /> Certifications and Assurances Fiscal Year 2020
<br /> certification and, if applicable, make a disclosure regarding the applicant's lobbying activities.
<br /> This certification is required by 49 C.F.R. §20.110 and app. A to that part.
<br /> This certification does not apply to an applicant that is an Indian Tribe, Indian organization, or
<br /> an Indian tribal organization exempt from the requirements of 49 C.F.R. Part 20.
<br /> 4.1. Certification for Contracts, Grants, Loans, and Cooperative Agreements.
<br /> The undersigned 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
<br /> employee of an agency, a Member of Congress, an officer or employee of Congress, or
<br /> 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
<br /> into of any cooperative agreement, and the extension, continuation,renewal, amendment,
<br /> or modification of any Federal contract, grant, loan, 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
<br /> Member of Congress, an officer or employee of Congress, or an employee of a Member
<br /> of Congress in connection with this Federal contract, grant, loan, or cooperative
<br /> agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure
<br /> Form to Report Lobbying," in accordance with its instructions.
<br /> (c) The undersigned shall require that the language of this certification be included in the
<br /> award documents for all subawards at all tiers (including subcontracts, subgrants, and
<br /> contracts under grants, loans, and cooperative agreements) and that all subrecipients shall
<br /> certify and disclose 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
<br /> and not more than $100,000 for each such failure.
<br /> 4.2. Statement for Loan Guarantees and Loan Insurance.
<br /> The undersigned states, to the best of his or her knowledge and belief,that:
<br /> If any funds have been paid or will be paid to any person for influencing or attempting to
<br /> influence an officer or employee of any agency, a Member of Congress, an officer or employee
<br /> of Congress, or an employee of a Member of Congress in connection with this commitment
<br /> providing for the United States to insure or guarantee a loan, the undersigned shall complete and
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