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Cocoon House 4/19/2018
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Cocoon House 4/19/2018
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Last modified
4/24/2018 9:35:41 AM
Creation date
4/24/2018 9:34:49 AM
Metadata
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Contracts
Contractor's Name
Cocoon House
Approval Date
4/19/2018
Council Approval Date
5/10/2017
Department
Finance
Department Project Manager
Susy Haugen
Subject / Project Title
Colby Avenue Youth Center
Tracking Number
0001162
Total Compensation
$300,000.00
Contract Type
Real Property
Contract Subtype
Loans
Retention Period
10 Years Then Transfer to State Archivist
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EXHIBIT H <br /> CERTIFICATION REGARDING LOBBYING <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 <br /> undersigned, to any person for influencing or attempting to influence an officer or employee <br /> of any agency, a Member of Congress, an officer or employee of Congress, or an employee <br /> of a Member of Congress in connection with the awarding of any Federal contract, the making <br /> of any Federal grant, the making of any Federal loan, the entering into of any cooperative <br /> agreement, and the extension, continuation, renewal, amendment, or modification of any <br /> 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 <br /> 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 <br /> Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the <br /> undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report <br /> Lobbying", in accordance with its instructions. <br /> (3) The undersigned shall require that the language of this certification be included in the <br /> award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and <br /> contracts under grants, loans, and cooperative agreements) and that all subrecipients shall <br /> certify and disclose accordingly. <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 <br /> making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any <br /> person who fails to file the required certification shall be subject to a civil penalty of not less <br /> than $10,000 and not more than $100,000 for each such failure. <br /> Cocoon House, a Washington non-profit corporation <br /> By: <br /> Joseph Alonzo, Interim Chief Executive Officer <br /> Exhibit H <br /> Cocoon House <br /> Page 1 of 4 <br />
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