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2 <br /> CERTIFICATION REGARDING LOBBYING <br /> Certification for Contracts,Grants,Loans,and Cooperative Agreements <br /> The undersigned 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 <br /> person for influencing or attempting to influence an officer or employee of an agency,a Member of <br /> Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with <br /> the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the <br /> entering into of any cooperative agreement,and the extension,continuation,renewal,amendment,or <br /> 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 <br /> influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an <br /> officer or employee of Congress,or an employee of a Member of Congress in connection with this Federal <br /> contract,grant,loan,or cooperative agreement,the undersigned shall complete and submit Standard <br /> Form-LLL,"Disclosure of Lobbying Activities,"in accordance with its instructions. <br /> (3)The undersigned shall require that the language of this certification be included in the award documents <br /> for all subawards at all tiers(including subcontracts,subgrants,and contracts under grants,loans,and <br /> cooperative agreements)and that all subrecipients shall certify and disclose accordingly.This certification <br /> 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 <br /> imposed by section 1352,title 31,U.S.Code.Any person who fails to file the required certification shall be <br /> subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. <br /> Statement for Loan Guarantees and Loan Insurance <br /> The undersigned states,to the best of his or her knowledge and belief,that: <br /> If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer <br /> or employee of any agency,a Member of Congress,an officer or employee of Congress,or an employee of <br /> a Member of Congress in connection with this commitment providing for the United States to insure or <br /> guarantee a loan,the undersigned shall complete and submit Standard Form-LLL,"Disclosure of Lobbying <br /> Activities,"in accordance with its instructions.Submission of this statement is a prerequisite for making or <br /> entering into this transaction imposed by section 1352,title 31,U.S.Code.Any person who fails to file the <br /> required statement shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 <br /> for each such failure. <br /> *APPLICANT'S ORGANIZATION <br /> City of Everett <br /> *PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE <br /> Prefix: *First Name: cassie Middle Name: <br /> *Last Name: Franklin Suffix: <br /> *Title: Mayor <br /> *SIGNATURE: Tracey L Landry *DATE: 03/06/2020 <br /> 5 <br /> Trackina Number:GRANT13042079 Funding Opportunity Number:DHS-20-GPD-056-00-01 Received Date:Mar 06,2020 05:58:04 PM EST <br />