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Exhibit G-3 Certification Regarding the Restrictions of the Use of Federal Funds <br />for Lobbying <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her <br />knowledge and belief, that: <br />1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any <br />person for influencing or attempting to influence an officer or employee of any Federal agency, a Member <br />of Congress, an officer or employee of Congress, or any employee of a Member of Congress in connection <br />with the awarding of any Federal contract, the making of any Federal grant, the malting of any Federal loan, <br />the entering into of any cooperative AGREEMENT, and the extension, continuation, renewal, amendment, <br />or modification of Federal contract, grant, loan or cooperative AGREEMENT. <br />2. if any funds other than 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 Federal agency, a Member of Congress, <br />an officer or employee of Congress, or an employee of a Member of Congress in connection with this <br />Federal contract, grant, loan or cooperative AGREEMENT, the undersigned shall complete and submit <br />Standard Form - LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. <br />This certification is a material representation of fact upon which reliance was placed when this transaction <br />was made or entered into. Submission of this certification is a prerequisite for making or entering into <br />this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required <br />certification shall be subject to a civil penalty of not less than $10,000.00, and not more than $100,000.00, <br />for each such failure. <br />The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require <br />that the language of this certification be included in all lower tier sub -contracts, which exceed $100,000, <br />and that all such sub -recipients shall certify and disclose accordingly. <br />KPFF Consulting Engineers <br />Consultant (Firm Name) <br />Signature (Authorized Official of Consultant) <br />WSDOT Form 140 -NO EF Exlrfblt G <br />0a..laa4 4A/ WOMA <br />Date <br />Agreement Number: KCPW 2017-14ENG2. <br />Page 1 of 1 <br />