03. BOP-1307 LOBBYING CERTIFICATION FORM.pdf
PDF 71 KB Posted
- Attached to
- Passenger Vehicles Supplement State and local contract opportunity
- Solicitation number
- 6100064373
- Issued by
- Dauphin County, Harveys Lake Borough, Pennsylvania
About this file
The document is a Lobbying Certification Form issued by the Pennsylvania Department of General Services, Bureau of Procurement, designed for contracts, grants, loans, and cooperative agreements. The form requires certification that no federal appropriated funds have been or will be paid to influence or attempt to influence government officials in connection with federal contracts, grants, loans, or cooperative agreements.
The certification mandates that if any non-federal funds are used for lobbying purposes, the undersigned must complete and submit a Standard Form-LLL, Disclosure of Lobbying Activities. Failure to file the required certification can result in civil penalties ranging from $10,000 to $100,000. The form requires the signatory to include the certification language in all sub-award documents and ensure that all sub-recipients certify and disclose accordingly. The document is dated and revised on 11/7/2013, with a space provided for signature, title, and date of execution.
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Text version
BOP-1307
Revised 11/7/2013
LOBBYING CERTIFICATION FORM
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, 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 the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than federal appropriated 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 federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-
LLL, Disclosure of Lobbying Activities, which can be found at:
https://www.epa.gov/sites/default/files/2020-06/documents/sflll_1_2-v1.2_fill-sign.pdf
(3) The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly.
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 under Section 1352, Title 31, U. S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than
$100,000 for such failure.
SIGNATURE: ______________________________________________________________
TITLE: _____________________________________________ DATE: ________________
https://www.epa.gov/sites/default/files/2020-06/documents/sflll_1_2-v1.2_fill-sign.pdf
File details come from the government source that posted it. Updated .