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n <br />EXHIBIT C <br />0 <br />CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND COOPERATIVE <br />AGREEMENTS <br />The undersigned certifies, to the best of his or her knowledge and belief that: <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 of <br />an agency, a Member of Congress in connection with the awarding of any Federal contract, the <br />making of any Federal grant, the making of any Federal loan, the entering into of any <br />cooperative agreement, and the extension, continuation, renewal, amendment or modification of <br />any 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 Congress, or an <br />employee of a Member of Congress in connection with this Federal contract, grant, loan, or <br />cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, <br />"Disclosure Form to 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 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 <br />making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any <br />person who fails to file the required certification shall be subject to a civil penalty of not less <br />than S 10,000 and not more that 5100,000 for each such failure. <br />Executed this day of '��'�j (� r— _ ?A(1-2 <br />By <br />/ tg—nature) <br />% <br />(Type or Print Name) <br />(Title) <br />Co%,ered action:ee <br />(Program, Project or Activ' y) <br />