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Exhibit G-3 Certification Regarding the Restrictions of the Use of Federal Funds for <br />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 <br />Member of Congress, an officer or employee of Congress, or any employee of a Member of Congress in <br />connection with the awarding of any Federal contract, the making of any Federal grant, the making of <br />any Federal loan, the entering into of any cooperative AGREEMENT, and the extension, continuation, <br />renewal, amendment, or modification of Federal contract, grant, loan or cooperativeAGREEMENT. <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 <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection <br />with this Federal contract, grant, loan or cooperative AGREEMENT, the undersigned shall complete and <br />submit Standard Form - LLL, "Disclosure Form to Report Lobbying," in accordance with its <br />instructions. <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 1352, Title 31, U.S. Code. Any person who fails to file <br />the require certification shall be subject to a civil penalty of not less than $10,000.00, and not more than <br />$100,000.00 for each such failure. <br />The prospective participant also agrees by submitting his or her bid or proposal that he or she shall <br />require that the language of this certification be included in all lower tier sub -contracts, which exceed <br />$100,000 and that all such sub -recipients shall certify and disclose accordingly. <br />KPG, P.S. <br />Consultant (Firm Name) <br />tune (Authorized Official of Consultant) <br />Date <br />Local Agency A&E Professional Services Agreement Number <br />Negotiated Hourly Rate Consultant Agreement Revised 0110112020 <br />