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certifications (including anything submitted in connection therewith by a person on behalf of the applicant before, after, <br />or at the time of the application submission and any materials that accompany this acceptance and certification); and <br />(2) I have the legal authority to accept this award on behalf of the applicant. <br />C. Accept this award on behalf of the applicant. <br />D. Declare the following to DOJ, under penalty of perjury, on behalf of myself and the applicant: (1) I understand <br />that, in taking (or not taking) any action pursuant to this declaration and certification, DOJ will rely upon this declaration <br />and certification as a material representation; and (2) I understand that any materially false, fictitious, or fraudulent <br />information or statement in this declaration and certification (or concealment or omission of a material fact as to either) <br />be the subject of criminal prosecution (including under 18 U.S.C SS 1001 and/or 1621, and/or 34 U.S.C. S $10271-10273), and also <br />federal False Claims Act <br />Agency Approval <br />may subject me and the applicant to civil pen alties and administrative remedies under the <br />(including under 31 U.S.C. SS 3729-3730 and/or SS 3801-3812) or othenvise. <br />Title of Approving Official <br />Assistant Attorney General <br />Authorized Representative <br />Entity Acceptance <br />Title of Authorized Entity Official <br />Lieutenant <br />Signed Date And Time <br />Name of Approving Official <br />Amy Solomon <br />Signed Date And Time <br />9119123 6:07 PM <br />Page: 21 of22