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<br /> C~TTFTCÂTTON FOR CONTRACTS. GrtANTS. LOANS AND COOP~ATTVE ÂGKE~ENTS '.lS'1/ <br /> The undersigned cer~ifies, to the best aT his or her knowledge and belief <br /> that: <br /> (1) No federal appropriated funds have been paid or will be paid, by <br /> or on behalf of the undersigned, to any person for influencing or <br /> attempting to influence an officer or an employee of any agency, <br /> a member of congress, an officer or employee of congress, or an <br /> employee of a m~~er of congress in connection with ~'e awarding <br /> of any federal contract, the mak i ng of any federal grant, the <br /> making of any federal loan, the entering into of any cooperative <br /> agreement, and the ex'Cension, continuation, renewal, amen'dment, <br /> or modification of any federal contract, grant, loan, or <br /> cooperative agreement. <br /> (2) If any funds other than federal appropriated funds have been paid <br /> or wi 11 be paid to any person for i~fluencing or attempt.ing t~ <br /> influence an officer or employee aT any agency, a memcer aT <br /> congress, an officer or employee of congress, or an employee of a <br /> member of congress in connection 'f/ith this federa 1 contract, <br /> grant, loan, or cooperative agreement, the undersigned sha 11 <br /> complete and submit Standard Form-ill, "Disclosure Form to Report <br /> . Lobbying," in accordance with its instructions. <br /> (3) The undersigned shall require that the language of this <br /> certification be included in the award documents for an <br /> subawards at all tiers (including subcontra~..s, subgrants, and <br /> contracts under grants I loans and cooperative a~ements) and <br /> that all subrecipients. shall certify and disclose accordingly. <br /> .' <br /> This certification is a material representation of fact upon which 'reliance <br /> was placed. when this transaction was made or entered. into. Submission of <br /> this certification is a prerequisitß for making or entering in-co this <br /> transaction imposed by Section 1352, Tit1e 31, U.S. Code. Any person who <br /> fails to file the required certification shall be subject to a civil <br /> penalty of not less than S10,000 and not more than $100,000 for each such <br /> ~ailure. <br /> ~,<1. ÞÅ~ <br /> Sign ~u Date <br /> Larry 0: GIlley Clç(')f)() (I) Z)o -- O\ <br /> Name of Au~orized Individual App¡lca~ion or Con-crac-c NumDer <br /> City of San Marcos, 630 E~ Hopkins, San Ma rco~. 'T'P Xi'! c; 7Rhhh <br /> Name and Address of Organiza-cion <br />