1994 RES R-110-94 - Laserfiche WebLink

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Attachment A ftifi anon for .antra !s +rang L n,nc ^nd C0012arnfive Anreom_ once (Federal Fiscal Year October 1, 194 to September 30, 192L) I, ,ctn C. H'ttm hereby certify on behalf (Name and title of Grantee official) of Citic Cf Chltm (Name of Grantee) that (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned; to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreementr the undersigned shall complete and submit Standard Form -LLL, *Disclosure Form to Report Lobbying; in accordance with its instructions. documents for all subawards at all tiers (including subgrants, and contracts and (3) The undersigned shall require that the language of this certification be included in the award under grants, subgrants„ subcontracts loans, and cooperative agreements) which exceed 5100,000. and that all such subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U. S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than S100,000 for each such failure. Executed this 18 day of _&cart .1994 aY : C. ignature of aLthornized official) Mrectcr cf si i is w3_la (Title of authorized official)