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2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing <br /> or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee <br /> of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or <br /> cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to <br /> Report Lobbying," in accordance with its instructions; <br /> 3. The undersigned shall require that the language of this certification be included in the award documents for all <br /> sub-awards at all tiers (including subcontracts, subgrants, and contracts under grant, loans, and cooperative <br /> agreements)and that all subrecipients shall certify and disclose accordingly. <br /> This certification is a material representation of fact upon which reliance was placed when this transaction was <br /> made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction <br /> imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be <br /> subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. <br /> RESTRICTION ON STATE LOBBYING <br /> (applies to subrecipients as well as States) <br /> None of the funds under this program will be used for any activity specifically designed to urge or influence a State or local <br /> legislator to favor or oppose the adoption of any specific legislative proposal pending before any State or local legislative <br /> body. Such activities include both direct and indirect(e.g., "grassroots") lobbying activities, with one exception. This does <br /> not preclude a State official whose salary is supported with NHTSA funds from engaging in direct communications with <br /> State or local legislative officials, in accordance with customary State practice, even if such communications urge <br /> legislative officials to favor or oppose the adoption of a specific pending legislative proposal. <br /> CERTIFICATION REGARDING DEBARMENT AND SUSPENSION <br /> (applies to all subrecipients as well as States) <br /> INSTRUCTIONS FOR PRIMARY TIER PARTICIPANT CERTIFICATION (STATES) <br /> 1. By signing and submitting this proposal, the prospective primary tier participant is providing the certification set <br /> out below and agrees to comply with the requirements of 2 CFR parts 180 and 1200. <br /> 2. The inability of a person to provide the certification required below will not necessarily result in denial of <br /> participation in this covered transaction. The prospective primary tier participant shall submit an explanation of <br /> why it cannot provide the certification set out below. The certification or explanation will be considered in <br /> connection with the department or agency's determination whether to enter into this transaction. However, <br /> failure of the prospective primary tier participant to furnish a certification or an explanation shall disqualify <br /> such person from participation in this transaction. <br /> 3. The certification in this clause is a material representation of fact upon which reliance was placed when the <br /> department or agency determined to enter into this transaction. If it is later determined that the prospective <br /> primary tier participant knowingly rendered an erroneous certification, in addition to other remedies available to <br /> the Federal Government, the department or agency may terminate this transaction for cause or default or may <br /> pursue suspension or debarment. <br /> 4. The prospective primary tier participant shall provide immediate written notice to the department or agency to <br /> which this proposal is submitted if at any time the prospective primary tier participant learns its certification <br /> was erroneous when submitted or has become erroneous by reason of changed circumstances. <br /> 5. The terms covered transaction, civil judgment, debarment, suspension, ineligible, participant, <br /> person, principal, and voluntarily excluded, as used in this clause, are defined in 2 CFR parts 180 and <br /> 1200. You may contact the department or agency to which this proposal is being submitted for assistance <br /> in obtaining a copy of those regulations. <br /> 6. The prospective primary tier participant agrees by submitting this proposal that, should the proposed covered <br /> transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person <br /> who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or <br /> voluntarily excluded from participation in this covered transaction, unless authorized by the department or <br /> agency entering into this transaction. <br /> 7. The prospective primary tier participant further agrees by submitting this proposal that it will include the clause <br /> titled "Instructions for Lower Tier Participant Certification" including the "Certification Regarding Debarment, <br /> Suspension, Ineligibility and Voluntary Exclusion—Lower Tier Covered Transaction," provided by the <br /> department or agency entering into this covered transaction, without modification, in all lower tier covered <br /> transactions and in all solicitations for lower tier covered transactions and will require lower tier participants to <br /> comply with 2 CFR parts 180 and 1200. <br /> 8. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier <br /> covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, <br /> suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification <br /> is erroneous. A participant is responsible for ensuring that its principals are not suspended, debarred, or <br /> 8/31/2023 3:01:19 PM Page 10 of 13 <br />