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Exhibit H: Lo ying Certification <br /> The undersigned certifies,to the best of the undersigned's 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 Congress,an <br /> officer or employee of Congress,or an employee of a Member of Congress in connection with the awarding of any <br /> Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any <br /> cooperative agreement,and the extension,continuation,renewal,amendment,or modification of any Federal <br /> 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 influencing <br /> or attempting to influence an officer or employee of any agency,a Member of Congress,an officer or employee <br /> of Congress,or an employee of a Member of Congress in connection with this Federal contract,grant,loan,or <br /> cooperative agreement,the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to <br /> Report Lobbying,"in accordance with its instructions,as attached. <br /> (3)The undersigned shall require that the language of this certification be included in the award documents for all <br /> subawards at all tiers(including subcontracts,subgrants,and contracts under grants,loans,and cooperative <br /> agreements)and that all subrecipients shall certify and disclose accordingly. <br /> This certification is a material representation of fact upon which reliance was placed when this transaction was <br /> made or 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 subject <br /> to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. <br /> I hereby certify that I have read the above certification, and that the information and my statements provide, <br /> herein by me are true and correct to the best of my knowledge, and by my signature on this documen , <br /> acknowledge my understanding that any intentional or negligent misrepresentation or falsification of any of th-- <br /> information in this document could subject me to punishment under federal and/or civil liability and/or in crimin.1 <br /> penalties,including but not limited to fine or imprisonment or both under Title 18, United States Code,Sec.100 , <br /> et seq.and punishment under federal law. <br /> tk.4S <br /> Printed Name Signature <br /> 2C riwG r -'' 4. 2K 12A2 , <br /> Title Date <br /> EVE R ETT Everett Forward Grant Program Subrecipient Agreement 1 Page 22 <br /> WASHINGTON <br />