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<br /> ATTACHMENT E-Z <br /> EMERGENCY SHELTER GRMTS PROGRAM <br /> PROHIBITIOII OF THE USE Of FmERAl FUII>S FOR lOBBYING <br /> CERTIFICATIOII <br /> I, , (name and title) <br /> authori zed to act on behalf of the State of Texas, certi fy to the best of my <br /> knowledge and be11ef, that: <br /> (1) No Federal appropriated funds have been paid or will be paid, by or on <br /> beha 1 f of the State, to any person for influencing or attempting to <br /> influence an officer or employee of any agency, a Member of Congress, <br /> an off1 cer or emp 1 oyee of Congres s, or an employee of a Member of <br /> Congress in connection wi th the awardi ng of any Federal loan; the <br /> entering into of any cooperative agreement, and the extension, <br /> continuation, renewal, amendment, or mod1f1cat10n of any Federal <br /> contract, grant, loan, or cooperative agreement. <br /> (2) If any funds other than Federal appropriated funds have been paid or <br /> wnl be paid to any person for influencing or attempting to influence <br /> an off1cer or employee of any agency, a Member of Congress, an off1cer <br /> or employee of Congress, or an employee of a Member of Congress in <br /> connection with th15 Federal contract, grant, loan, or cooperative <br /> agreement, the State shall complete and submit Standard Form-LLl, <br /> IID1sclosure Form to Report Lobbying,1I in accordance with its <br /> instructions. <br /> (3) The State shall require that the 1 anguage of th i s certification be <br /> included in the award documents for all subawards at all tiers <br /> (including subcontracts, subgrants, and contracts under grants, loans, <br /> and cooperative agreements) and that all subrec1p1ents shall certify <br /> and disclose according to the Government-wide Guidance for New <br /> Restrictions on Lobbying (Fed. Reg. December 20, 1989; 52306). <br /> (Name and n t 1 e) <br /> (Signature) <Date) <br /> This certification 15 a materh 1 representation of fact upon which <br /> reliance was placed when this transaction was made or entered into. Submission <br /> of this certification is a prerequisite for making or entering into thi$ <br /> transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fa i J s <br /> to fl1e the required certification shall be subject to a chit penalty of nr;t <br /> less than $10,000 and not more than 100,000 for each such failure. <br /> 1434C5 <br />