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Lutheran Family Services in the Carolinas <br />Attachment G <br />CABARRUS COUNTY DEPARTMENT OF SOCIAL SERVICES <br />CERTIFICATION REGARDING LOBBYING <br />The undersigned certifies,. to-the best oi'his or her knowledge and belief, that: <br />I . No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, <br />tc any 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. the awarding of any Federal contract, continuation, renewal, <br />amendment, or modification of any Federal. contract, grant, loan, or cooperative agreement. <br />2, if any funds: other than Federal appropriated funds have been paid dr will be paid to any person. <br />for influencing or attempting to iinfluence an officer or employee of any 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 Pederall}*fuuded contract, grant, loan; orcooparalive agreerrtent, the <br />wtdersigned shall complete and submit Standard Form SF-LLL, "I)isclcsure of <br />Lobbying Activities," in accordance with its instructions. <br />3. The undersigned shall require that the language of this certification be included in the award. <br />document for subawards at all tiers (including subcontracts, subgrants, and contracts under grants, <br />loads, and cooperative agreements) who receive federal funds of $100,000.00 or more and that all <br />subrecipients shall certify and disclose accordingly. <br />This certification is a material representation of faot 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 wha <br />fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 <br />and not more than $100,Q00.00 for each such failure. <br />13 : _ ~,~- I'resident/CCO <br />Signature Title <br />Date <br />(Certif cation signature should. be same as Contract signature.) <br />Federal Cerkiftcation - Lobbying (06lOd) page 1 of I <br />F- ~ <br />