Free VA Form VA40-0895-9 - Certification Regarding Lobbying - Federal


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CERTIFICATION REGARDING LOBBYING
This certification is made in compliance with Section 319 of Public Law 101-121 and pursuant to the Interim Final guidance published on December 20, 1989 in the Federal Register (Pages 52306-52332). Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned certifies, to the best of their knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Forms-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31 U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

SIGNATURE OF STATE OR TRIBAL GOVERNMENT CERTIFYING OFFICIAL

DATE (mm/dd/yyyy)

NAME OF STATE OR TRIBAL GOVENMENT CERTIFYING OFFICIAL

TITLE OF STATE OR TRIBAL GOVERNMENT CERTIFYING OFFICIAL

PROJECT FAI (Federal Identification Number) NO.

NAME AND ADDRESS OF STATE OR TRIBAL GOVERNMENT AGENCY

VA FORM JUL 2009

40-0895-9

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