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Enclosure <br /> <br />FmHA Instruction 1940-Q <br /> Exhibit A-1 <br /> <br />CERTIFICATION FOR CONTRACTS, GRANTS AI~D LOANS <br /> <br /> The undersigned certifies, to the best of his or her knowledge and belief, <br />that: <br /> <br /> 1. No Federal appropriated funds have been paid or will be paid, by or <br />on behalf of the undersigned, to any person for influencing or attempting to <br />influence an officer or employee of any agency, a Member of Congress, an <br />officer or employee of Congress, or an employee Of a Nember ~f Congress in <br />connection with the awarding of any Federal contract, the making of any <br />Federal grant or Federal loan, and the extension, COntinuation, renewal, <br />amendment, or modification of any.Federal contract, grant or loan, <br /> <br /> 2. If any funds other than Federal appropriated funds have been paid or <br />will be paid to any person for influencing or attempting to influence an <br />officer or employee of any agency, a Member of Congress, an officer or <br />employee of Congress, or an employee of a Member of Congress tu connection <br />with this Federal contract, grant or loan, the undersigned shall complete and <br />submit Standard Form - LLL, "Disclosure of Lobbying Activities," in accordance <br />with its instructions. <br /> <br /> 3. The undersigned shall require that the language of this certification <br />be included in the award documents for all subawards at all tiers (including <br />contracts, subcontracts, and subgrauts under grants and loans) and that all <br />subrectptents shall certify and disclose accordingly. <br /> <br /> This certification is a material representation of fact upon which <br />reliance was placed when this transaction was made or entered into. <br />Submission of this certification is a prerequisite for meking or entering into <br />thin transaction imposed by section 1352, title 31, U.S. Code; Any person who <br />fails to file the required certification shall 'be subject to a civil penalty <br />of not lass than $10,000 and not more than 8100,000 for each such failure. <br /> <br /> February 24, 2004 <br />(name) (date) <br /> <br />(title) <br /> <br />o0o <br /> <br />(08-21-91) PN 171 <br /> <br /> <br />