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APPENDIX TO CERTIFICATIONS Instructions concerning lobbying and drag-tree workplace requirements: A. Lobbying Certification This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section L352, title 3 L, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not Icss than $10,000 and not more than $ L00,000 for each such failure. B. Drug-Free Workplace Certification E3y signing and/or submitting this application or grant agreement, the City of Pleasanton is providing the certification. The certification is a material representation of fact upon which reliance is placed when the agency awards the grant. [f it is later determined that the City of Pleasanton knowingly rendered a false certification, or otherwise violates the requirements of the Drug-Free Workplace Act, [[UD, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act. 3. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the City of Pleasanton does not identify the workplaces at the time of application, or upon award, if there is no application, the City of Pleasanton must keep the identity of the workplace(s) on file in its office and make the information available for Fcdcral inspection. Failure to identify all known workplaces constitutes a violation oP the City of Pleasanton's drug-tree workplace requirements. 4. Workplace identifications must include the actual address of buildings (or parts of buildings) or other sites where work under the grant takes place. Categorical descriptions may be used (c.g., all vehicles of a mass transit authority or State highway department while in operation, State employees in each local unemployment offico, performers in concert halls or radio stations). 5. If the workplace identified to the agency changes during the performance of the grant, the City of Pleasanton shall inform the agency of the change(s), if it previously identified the workplaces in question (see paragraph three). Aaiun Plnn - FY09 (J~3' 0~ PIC83A111011 PaKc 46