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Exhibit M-3 <br /> Certification Regarding The Restrictions <br /> of The use of Federal Funds for Lobbying <br /> The prospective participant certifies,by signing and submitting this bid or proposal,to the best of his or her <br /> 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 <br /> any person for influencing or attempting to influence an officer or employee of any Federal <br /> agency, a member of Congress,an officer or employee of Congress,or an employee of a member <br /> of Congress in connection with the awarding of any Federal contract,the making of any Federal <br /> grant,the making of any Federal loan,the entering into of any cooperative agreement,and the <br /> extension,continuation,renewal,amendment,or modification of any Federal contract,grant,loan, <br /> 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 Federal agency,a member of <br /> Congress,an officer or employee of Congress, or an employee of a member of Congress in <br /> connection with this Federal contract,grant,loan,or cooperative agreement,the undersigned shall <br /> complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance <br /> with its instructions. <br /> This certification is a material representation of fact upon which reliance was placed when this <br /> transaction was made or entered into. Submission of this certification is a prerequisite for making <br /> or entering into this transaction imposed by Section 1352,Title 31,U.S. Code. Any person who <br /> fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and <br /> not more than$100,000 for each such failure. <br /> The prospective participant also agrees by submitting his or her bid or proposal that he or she shall <br /> require that the language of this certification be included in all lower tier subcontracts which <br /> exceed$100,000 and that all such subrecipients shall certify and disclose accordingly. <br /> Consultant(Firm): 5�,7ivrL j,✓ttJt ,., fe dd 4,✓ , <br /> , az zo/u /rrt--ex �ria <br /> (bate) (Signature)President or Authorizd� Official of Consultant <br /> DOT Form 140-089 EF Exhibit M-3 <br /> Revised 6/05 <br />