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<br />
<br />APPENDIX A, 44 C.F.R. PART 18 – CERTIFICATION REGARDING LOBBYING
<br />Certification for Contracts, Grants, Loans, and Cooperative Agreements
<br />
<br />The undersigned certifies, to the best of his or her knowledge and belief, that:
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<br />1. 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
<br />of an agency, a Member of Congress, an officer or employee of Congress, or an employee of
<br />a Member of Congress in connection with the awarding of any Federal contract, the making
<br />of 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 />
<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
<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 />
<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
<br />under grants, loans, and cooperative agreements) and that all subrecipients shall certify and
<br />disclose accordingly.
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<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 />
<br />The Consultant, Hagerty Consultants, Inc., certifies or affirms the truthfulness and accuracy of
<br />each statement of its certification and disclosure, if any. In addition, the Consultant
<br />understands and agrees that the provisions of 31 U.S.C. Chap. 38, Administrative Remedies
<br />for False Claims and Statements, apply to this certification and disclosure, if any.
<br />
<br />
<br /> Signature of Consultant’s Authorized Official
<br />
<br /> Bradley R. Grining, Chief Operating Officer
<br /> Name and Title of Consultant’s Authorized Official
<br />
<br />
<br /> Date
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<br />
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<br />DocuSign Envelope ID: F4067998-FFF7-46D8-9A00-3615ECBE25B8
<br />7/6/2020
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