HomeMy WebLinkAboutExhibit DCERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies to the best of his or her 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 an 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 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
Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) This undersigned shall require that the language of this certification be included in the award
documents for "All" sub -awards at all tiers (including subcontracts, sub -grants, and contracts under
grants, loans, and cooperative agreements) and that all sub -recipients 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 3 1, 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.
Allapattah Community Action, Inc.
SUB-RECIPM'NT
_ Ardo Mesa, President of the Board
PRINT NAME OF CERTIFYING OFFICIAL.
SIGNATURE OF CERTIFYING OFFICIAL
DATE
Note: In these instances, "All" in the Final Rule is expected to be clarified to show
that it applies to covered contract/grant transactions over $400,000 (per QUM)