06 BOP-1307 Lobbying Certification Form.docx
DOCX document 93 KB Posted
- Attached to
- 12 BDD Psych Services State and local contract opportunity
- Solicitation number
- 6100055942
About this file
This document is a Lobbying Certification Form that must be completed for any federal contract, grant, loan, or cooperative agreement. The certification states that no federal appropriated funds have been or will be paid to influence any federal officials, and that the language of this certification must be included in all sub-awards. Failure to file the required certification can result in civil penalties. This certification is a prerequisite for entering into this type of federal transaction, as mandated by Section 1352, Title 31 of the U.S. Code.
The document outlines the specific requirements and consequences related to lobbying activities for any party receiving federal funds through a contract, grant, loan, or cooperative agreement. It requires full disclosure and certification that no improper influence has been or will be used in relation to the federal award.
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| Solicitation Addendum 1_6100055942.docx | DOCX document | |
| 02 Terms and Conditions_6100055942.pdf | ||
| 03 Appendix A-1 BDD Psychiatrist Requirements Checklist.docx | DOCX document | |
| 07 BOP-2201 Worker Protection Form.docx | DOCX document | |
| 01 BDD Psych Consults SOW_Final.docx | DOCX document | |
| 08 Business Associate Addendum HIPAA 11.24.2014.pdf | ||
| 09 Attachment 1 Case Qty.docx | DOCX document |
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Text version
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.gsa.gov/Forms/TrackForm/33144
(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: ________________
BOP-1307
Revised 11/7/2013 image1.png
File details come from the government source that posted it. Updated .