06-Attachment D - BOP-1307 LOBBYING CERTIFICATION FORM.pdf
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- Solicitation number
- 6100066641
- Issued by
- Harveys Lake Borough, Pennsylvania
About this file
This is a Lobbying Certification Form (Attachment D) required for the Bagged De-Icing Materials (50 lb. Bags) supplemental solicitation issued by the Commonwealth of Pennsylvania. The form serves as a compliance document for bidders participating in this supplemental IFB, which is intended to provide de-icing materials to various state agencies for snow and ice removal during winter operations. The certification form is a mandatory submission component that bidders must complete and submit as part of their bid package to demonstrate their understanding of and compliance with federal lobbying restrictions and disclosure requirements applicable to government contracts.
The Lobbying Certification Form requires bidders to certify that they have not engaged in prohibited lobbying activities and to disclose any lobbying contacts made in connection with the contract opportunity. This certification is a standard federal requirement for contracts exceeding certain thresholds and ensures that bidders are operating in compliance with applicable federal regulations governing lobbying expenditures and activities related to government procurement. Bidders must complete the form truthfully and submit it with their bid response to satisfy the eligibility requirements for this supplemental de-icing materials solicitation.
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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
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