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<br />Form RA 3 <br /> <br />CERTIFICATION REGARDING LOBBYING <br /> <br />Instructions: <br /> <br />Prior to the release of federal funds by the Criminal Justice Division (CJD), the authorized official for <br />grantees that receive $100,000 or more must complete and return this certification, including the cm <br />grant number to which the certification applies, if an award has been made. (Note: The grant number is <br />stated on the Statement of Grant Award.) <br /> <br />Certification: <br /> <br />Each grantee shall file the most current edition of this certification and disclosure form, if applicable, <br />with each submission that initiates agency consideration for an award of a federal contract, grant, or <br />cooperative agreement of$100,000 or more. <br /> <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 making or <br />entering into this transaction imposed by Section 1592, Title 31, V.S.C. Any person who fails to file the <br />required certification shall be subject to a civil penalty of not less than $10,000 and not more than <br />$100,000 for each such failure. <br /> <br />The undersigned certifies, to the best of his or her lmowledge and belie~ that: <br /> <br />1. no federal appropriated funds have been paid or will be paid to any person for <br />influencing or attempting to influence 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 <br />in connection with the awarding of any federal contract, the making of any federal grant, <br />the making of any federal loan, the entering into of any cooperative agreement, and the <br />extension, continuation, renewal, amendmen~ or modification of any federal contract, <br />grant, loan, or cooperative agreement; <br /> <br />2. if any non-federal funds have been paid or will be paid to any person for influencing or <br />attempting to influence an officer or employee of any agency, a member of Congress, an <br />officer or employee of Congress, or an employee of a member of Con-gress in connection <br />with this federal contract, grant, loan, or cooperative agreement, the undersigned shall <br />check here _ and complete and submit standard fonn # _ "Disclosure Fonn to <br />Report Lobbying, " in accordance with its instructions; and <br /> <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 and that all sub-recipients shall certify <br />accordingly. <br /> <br /> <br />1 / 30 / 97 <br />Date <br /> <br />City of Paris, Paris, Texas <br />. .- - . Grantee <br /> <br />Grant Number <br /> <br />7 <br />CID Forms Packet, revised 7/96 <br />