Common use of Statement for Loan Guarantees and Loan Insurance Clause in Contracts

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 Xxxxxxxx Environmental + Communication Services, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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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 Xxxxxxxx Environmental + Communication Services, Inc. 00Galveston Bay Foundation 22-000045-000 005-D102 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxx Xxxxxx Xxxxxxxx CEO President SIGNATURE DATE 9/16/2021 * 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 d. loan 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

Appears in 1 contract

Samples: Subrecipient Grant Agreement

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 Xxxxxxxx Environmental + Communication ServicesKalypso Management, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxx Xxxxxx Xxxxxxxx CEO Secretary SIGNATURE DATE 2/26/2021 * 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 d. loan 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

Appears in 1 contract

Samples: Marketing, Advertising, and Media Buying Services Contract

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 Xxxxxxxx Environmental + Communication ServicesTetra Tech, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxx Xxxxxxxx CEO Senior Vice President SIGNATURE DATE 2/1/2022 * 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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 Xxxxxxxx Environmental + Communication Services, Inc. 00Ernst & Young U.S. LLP 24-062-000-000 E148 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxx Partner SIGNATURE DATE 7/11/2024 * 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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 Xxxxxxxx Environmental + Communication ServicesInformation Strategies, Inc. 00-000("InfoStra2t0"-0)75-000 -B969 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx X. Xxxxxxxx CEO President SIGNATURE DATE 2/19/2020 * 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 d. loan 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

Appears in 1 contract

Samples: Ongoing Technology Enhancement and Support Services Contract

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 Xxxxxxxx Environmental + Communication AECOM Technical Services, Inc. 0020-088-000-000 C015 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxxxxxxx Xxxxxx Xxxxxxxx CEO 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 d. loan 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

Appears in 1 contract

Samples: Contract for Services

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 Xxxxxxxx Environmental + Communication Services, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx E. Xxxx Xxxxxxxx CEO SIGNATURE DATE 12/8/2020 * 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 d. loan 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

Appears in 1 contract

Samples: Covid 19 Reimbursement Agreement

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 Xxxxxxxx Environmental + Communication ServicesDBR Engineering Consultants, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxx Xxxxxx Xxxxxxxx CEO Partner 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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 Xxxxxxxx Environmental + Communication ServicesXxxxxx and Xxxxxxx, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO 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 d. loan 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

Appears in 1 contract

Samples: Environmental Services Contract

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 Xxxxxxxx Environmental + Communication ServicesMaple Park Senior Village, Inc. 00L.L.C. 20-000063-000 014-B935 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE _Will Xxxxxx Xxxxxxxx CEO SIGNATURE DATE * XX 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 d. loan 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

Appears in 1 contract

Samples: Grant Agreement

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 Xxxxxxxx Environmental + Communication Services, Inc. Ernst & Young U.S. LLP 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxxxxxx Authorized Signatory 12/3/2019 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 d. loan 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

Appears in 1 contract

Samples: Professional Services Contract

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 Xxxxxxxx Environmental + Communication ServicesXxxx, Xxxxxx, Elstner Associates, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxxxx Xxxxxxx Unit Manager and Principal 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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 Xxxxxxxx Environmental + Communication ServicesSWCA, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxx Xxxxxx Xxxxxxxx CEO Vice President SIGNATURE DATE 8/19/2020 * 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 d. loan 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 changeaward

Appears in 1 contract

Samples: Environmental Services Contract

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 Xxxxxxxx Aptim Environmental + Communication Services& Infrastructure, Inc. LLC 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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 Xxxxxxxx Environmental + Communication ServicesSan Antonio Bay Partnership, Inc. 0022-000045-000 017-D114 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxx Xxxxxx Xxxxxxxx CEO Chair of Board of Directors 9/27/2021 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 d. loan 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

Appears in 1 contract

Samples: Subrecipient Grant Agreement

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 Xxxxxxxx Environmental + Communication ServicesXxxx, Xxxxxxx & Associates, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxx Xxxxx Executive 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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 Xxxxxxxx Environmental + Communication AECOM Technical Services, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxxxx Vice President, Disaster Recovery SIGNATURE DATE 11/17/2023 * 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 d. loan 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

Appears in 1 contract

Samples: Relocation Assistance Services Contract

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 Xxxxxxxx Environmental + Communication Services, Inc. 00Delta Manor GP LLC 20-000063-000 004-B926 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO SIGNATURE DATE * Xxxxx Vice President 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 d. loan 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

Appears in 1 contract

Samples: Grant Agreement

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 Xxxxxxxx Environmental + Communication Services, Inc. 00City of Wolfforth 23-000160-000 051-E805 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxxxx 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 d. loan 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

Appears in 1 contract

Samples: Subrecipient Agreement

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 Xxxxxxxx Environmental + Communication Services, Metric Engineering Inc. 0021-168-000-000 C906 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxxx Xxxxxx Xxxxxxxx CEO Executive Vice President SIGNATURE DATE 3/1/2021 * 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 d. loan 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

Appears in 1 contract

Samples: Services Agreement

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 Xxxxxxxx Environmental + Communication ServicesCARE INNS OF TEXAS, Inc. 00LTD 21-000119-000 002-C764 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO 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 d. loan 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

Appears in 1 contract

Samples: Covid 19 Reimbursement Agreement

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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 Xxxxxxxx Environmental + Communication Services, Inc. Xxxxxxxxxx Engineering Corporation 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxx Xxxxxx Xxxxxxxx CEO Division Manager SIGNATURE DATE 8/10/2020 * 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 d. loan 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

Appears in 1 contract

Samples: Professional Services Contract

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 Xxxxxxxx Environmental + Communication ServicesXxxxx-Xxxxxxx, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxxxx Xxxx Executive 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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 Xxxxxxxx Environmental + Communication AECOM Technical Services, Inc. 0021-000064-000 002-C858 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxx Xxxxxxxx CEO Vice President, USWest Water SIGNATURE DATE 2/2/2021 * 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 d. loan 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

Appears in 1 contract

Samples: Program Implementation Services Contract

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 Xxxxxxxx Environmental + Communication ServicesDR Sienna Villas Investments, Inc. 00LP 20-000063-000 019-B940 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO SIGNATURE DATE * Xxx Xxx Manager 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 d. loan 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

Appears in 1 contract

Samples: Grant Agreement

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 Xxxxxxxx Environmental + Communication ServicesWood Environment & Infrastructure Solutions, Inc. 0021-145-000-000 C845 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxx Central Gulf Coast Region Manager SIGNATURE DATE 2/5/2021 * 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 d. loan 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

Appears in 1 contract

Samples: Project Management Services Contract

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 Xxxxxxxx Environmental + Communication ServicesTexas VSI, Inc. 00LLC 21-000119-000 001-C763 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO 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 d. loan 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

Appears in 1 contract

Samples: Covid 19 Reimbursement Agreement

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 Xxxxxxxx Environmental + Communication AECOM Technical Services, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxx Xxxxxxxx CEO Vice President, Central Water SIGNATURE DATE 8/9/2020 * 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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 Xxxxxxxx Environmental + Communication Services, Inc. Ernst & Young U.S. LLP 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxxxxxx Authorized Signatory 12/5/2019 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 d. loan 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

Appears in 1 contract

Samples: Professional Services Contract

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 Xxxxxxxx Environmental + Communication Services, Inc. IMEG Corp 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxx Executive Principal 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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 Xxxxxxxx Environmental + Communication ServicesXxxxxx and Xxxxxxx, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO X. Xxxxx VP, Division Manager SIGNATURE DATE 8/10/2020 * 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 d. loan 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

Appears in 1 contract

Samples: Professional Services Contract

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 Xxxxxxxx Environmental + Communication ServicesCrowderGulf, Inc. 00LLC 21-169-000-000 C907 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxxx-Xxxxx President 3/2/2021 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 d. loan 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

Appears in 1 contract

Samples: Services Agreement

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 Xxxxxxxx Environmental + Communication ServicesPRDG, Inc. LLC 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxx Xxxxxxxxx Managing Principal SIGNATURE DATE 11/17/2021 * 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 d. loan 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

Appears in 1 contract

Samples: Professional Services

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 Xxxxxxxx Environmental + Communication ServicesGrantWorks, Inc. 0021-000064-000 001-C847 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxxxxxxx President SIGNATURE DATE 2/8/2021 * 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 d. loan 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

Appears in 1 contract

Samples: Program Implementation Services Contract

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