Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Maple Court GP LLC 20-063-013-B934 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx Vice President SIGNATURE DATE 8/5/2020 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-
Statement for Loan Guarantees and Loan Insurance. The Contractor certifies, to the best of the Contractor’s knowledge and belief, that if any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the Contractor shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,'' in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Aptim Environmental & Infrastructure, LLC 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxx Xxxxxxxxxxx Vice President SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that:
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME AECOM Technical Services, Inc. 20-088-000-C015 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxxxxxxx Xxxxxx VP SIGNATURE DATE 11/25/2019 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME City of Houston, Housing and Community Develop1m9e-n1t47-001-B489 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxx XxXxxxxxx 1/4/2019 SIGNATURE DATE 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Fort Bend County 18-523-000-B264 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxx SIGNATURE DATE *24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Approved by OMB
Statement for Loan Guarantees and Loan Insurance. The undersigned certifies on behalf of the Subrecipient that:
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of its knowledge and belief, that:
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Nueces County 20-065-091-C254 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxxx Xxxxxxx Nueces County Judge 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- SIGNATURE DATE appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
