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<br />EXHIBIT C <br /> <br />CERTIFICATION REGARDING LOBBYING FOR <br />SUB-RECIPIENT AGREEMENTS, GRANTS, LOANS, <br />AND COOPERATIVE AGREEMENTS <br /> <br />The undersigned, , as Mayor/County Judge of the <br />following to the best of his knowledge and belief. <br /> <br />, Texas certifies the <br /> <br />A. No federal appropriated funds have been paid or shall be paid by or on behalf of the undersigned to any person for <br />influencing or attempting to influence an officer or employee of an agency, a member of Congress, an officer or employee <br />of Congress or an employee of a member of Congress in connection with the awarding of any federal Sub-recipient <br />agreement, the making 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 federal Sub-recipient agreement, <br />grant, loan or cooperative agreement. <br /> <br />B. If any funds other than federal appropriated funds have been paid or shall be paid to any person for influencing or <br />attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, <br />or an employee of a member of Congress in connection with this federal Sub-recipient agreement grant, loan or <br />cooperative agreement, the undersigned shall complete and submit standard form Disclosure Form to Report Lobbying <br />form in accordance with its instructions. <br /> <br />C. The undersigned shall require that the language of this certification be included in the award documents for all sub- <br />awards including sub-contracts, sub-grants and Sub-recipient agreements under grants, loans, and cooperative <br />agreements and that all Sub-recipients shall certify and disclose accordingly. <br /> <br />This certification is a material representation of fact upon that reliance was placed when this transaction was made or <br />entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31 <br />U.S.C 91352. Any person who fails to file the required certification shall be subject to a civil penalty of not less than <br />$10,000 and not more than $100,000 for each such failure. <br /> <br />Chief Elected Official, Mayor/County Judge <br /> <br />Date <br /> <br />12 <br />