08 BOP-1307 Lobbying Certification Form.docx
DOCX document 94 KB Posted
- Attached to
- Johnstown OVR Enhanced Driving/Anc Svcs
- Solicitation number
- 6100065977
- Issued by
- Carbon County, Pennsylvania
About this file
This is a Lobbying Certification Form required by the Commonwealth of Pennsylvania, Department of Labor and Industry (DLI), Office of Vocational Rehabilitation (OVR), for the Johnstown Enhanced Driving and Ancillary Services contract opportunity. The certification addresses federal lobbying requirements and applies to all bidders seeking to contract with the Commonwealth for non-emergency transportation services in the Johnstown OVR District covering Indiana, Cambria, Somerset, and Westmoreland counties. The form serves as a prerequisite document that must be completed and submitted by all prospective contractors as part of their bid response.
The certification requires bidders to attest that no federal appropriated funds have been or will be paid to influence any federal agency official, member of Congress, or congressional employee in connection with this contract award. Should non-federal funds be used for lobbying activities, bidders must complete and submit Standard Form-LLL, Disclosure of Lobbying Activities. Bidders must also ensure this certification language is included in all sub-awards and require all sub-recipients to certify and disclose accordingly. Failure to file the required certification subjects bidders to civil penalties ranging from $10,000 to $100,000. The form requires the signature, title, and date of the authorized representative submitting the bid and was last revised on November 7, 2013.
View the file
Other files
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .