04-Appendix D - SFLLL.pdf

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Research Initiatives in Support of FHWA Bridges and Structures Programs 3. 0
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693JJ3-23-BAA-0001
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The document is a Certification Regarding Lobbying form that requires an organization to certify its compliance with federal lobbying regulations. The certification mandates that the organization has not and will not use Federal appropriated funds to influence or attempt to influence government officials or members of Congress in connection with federal grants, loans, or cooperative agreements. If non-Federal funds are used for such purposes, the organization must complete and submit Standard Form-LLL "Disclosure of Lobbying Activities."

The form emphasizes legal compliance, requiring the organization to include this certification language in all sub-award documents and certify that all subrecipients comply similarly. Failure to file the required certification can result in civil penalties ranging from $10,000 to $100,000 for each violation. The document provides blank fields for the organization's details, including name, address, and certification by an authorized representative, and requires a signature and date to validate the certification.

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BAA 693JJ3-23-BAA-0001 3.0.pdf PDF

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CERTIFICATION REGARDING LOBBYING

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 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," in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents of 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 by section 1352, title 31, United States 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 each such failure.

Organization:

Street address:

City, State, Zip:

CERTIFIED BY:

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TITLE:

(signature) (date)

File details come from the government source that posted it. Updated .