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BK 00026 PG
<br />Consolidated Agreemeat FY15 Page 25 of 28
<br />Certification
<br />a. The prospective lower tier participant certifies, by submission of this document, that neither it nor its principals is
<br />presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in
<br />this transaction by any Federal department or agency.
<br />b. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such
<br />prospective participant shall attach an explanation to this proposal.
<br />V. Certification Regarding Lobbying
<br />The Contractor 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 undersigned, to any person for
<br />influencing or attempting to 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 the awarding of any Federal contract,
<br />continuation, renewal, amendment, or modification of 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 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 Federally funded contract, grant, loan, or cooperative
<br />agreement, the undersigned shall complete and submit Standard Form SF -LLL, "Disclosure of Lobbying Activities," in
<br />accordance with its instructions.
<br />3. The undersigned shall require that the language of this certification be included in the award document for subawards at all
<br />tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) who receive federal
<br />funds of $100,000.00 or more and that all subrecipients shall certify and disclose accordingly.
<br />4. This certification is a material representation of fact upon which 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
<br />Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty
<br />of not less than $10,000.00 and not more than $100,000.00 for each such failure.
<br />VI. Disclosure of Lobbying Activities
<br />Instructions
<br />This disclosure form shall be completed by the repotting entity, whether subawardee or prime Federal recipient, at the initiation
<br />or receipt of a covered Federal action, or a material change to a previous filing, pursuant to tide 31 U.S.C. section 1352. The
<br />filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting
<br />to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee
<br />of a Member of Congress in connection with a covered Federal action. Use the SF -LLL -A Continuation Sheet for additional
<br />information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change
<br />report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
<br />1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome
<br />of a covered Federal action.
<br />2. Identify the status of the covered Federal action.
<br />3. Identify the appropriate classification of this report. If this is a follow -up report caused by a material change to the
<br />information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last
<br />previously submitted report by this reporting entity for this covered Federal action.
<br />4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check
<br />the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or sub -award recipient.
<br />Identify the tier of the subawardee, e.g., the fast subawardee of the prime is the 1st tier. Subawar+ds include but are not
<br />limited to subcontracts, subgrants and contract awards under grants.
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