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. EaIMTT E <br /> Lobbying Restriction Certification <br /> I, , hereby certify on behalf of <br /> (Printed name and title of authorized official) <br /> the City of St. Anthony: <br /> a) No Federal appropriated funds have been paid or will be paid,by or on behalf of the undersigned,to <br /> any person for influencing or attempting to influence an officer or employee of any agency,a <br /> Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress <br /> in connection with the awarding of any Federally funded contract,the making of any Federal grant, <br /> the making of any Federal loan,the entering into of any cooperative agreement,and the extension, <br /> continuation, renewal,amendment,or modification of any Federal contract,grant, loan,or <br /> cooperative agreement. <br /> b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for <br /> influencing or attempting to influence an officer or employee of any agency,a Member of Congress, <br /> an officer or employee of Congress,or an employee of a Member of Congress in connection with <br /> this Federally funded contract, grant, loan, or cooperative agreement,the undersigned shall complete <br /> and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its <br /> instructions. <br /> • c The undersigned shall require that the language of this certification be included in the award <br /> � q <br /> documents for all subawards at all tiers(including subcontracts, subgrants,and contracts under <br /> grants, loans,and cooperative agreements)and that all subrecipients shall certify and disclose <br /> accordingly. <br /> This certification is a material representation of fact upon which reliance is placed when this transaction <br /> was made or entered into. Submission of this certification is a prerequisite for making or entering into <br /> this transaction imposed by Section 1352,Title 31,U.S. Code. Any person who fails to file the required <br /> certification shall be subject to a civil penalty of not less than$10,000 and not more than $100,000 for <br /> each such failure. <br /> Executed this day of , 19 <br /> By: <br /> (Signature of Authorized Official) <br /> (Title of Authorized Official) <br /> Attest: <br /> E-1 <br />