1-Form - Lobbying.pdf
PDF 68 KB Posted
- Attached to
- MPO General Planning Consultant State and local contract opportunity
- Solicitation number
- 2027005
- Issued by
- Indian River County, Florida
About this file
This is a Certification Regarding Lobbying form required for submission with bids or offers exceeding $100,000 or any bid that may be paid under a FEMA Public Assistance Grant in connection with the Indian River County Metropolitan Planning Organization (MPO) General Planning Consultant contract opportunity in Florida. The form certifies that no Federal appropriated funds have been or will be paid to influence Federal officials, Members of Congress, or their employees in connection with the award of the Federal contract, grant, loan, or cooperative agreement. The certification must be completed and signed by the Contractor's authorized official, with the signatory required to certify the truthfulness and accuracy of the statements made.
The form serves as a material representation of fact upon which reliance was placed when the transaction was made or entered into, with submission constituting a prerequisite for entering into the transaction under 31 U.S.C. § 1352. Contractors are required to include this certification language in all subaward documents at all tiers and ensure all subrecipients certify and disclose accordingly. Any person failing to file the required certification is subject to civil penalties ranging from $10,000 to $100,000 for each failure, and the contractor acknowledges that provisions of 31 U.S.C. § 3801 et seq. apply to the certification and any related disclosures.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 6-Form - RFP-RFQ Compliance Form.pdf | ||
| 5-Form - Debarment.pdf | ||
| 8-RFQ 2027005 for MPO General Consulting Services.pdf | ||
| 7-Form - Foreign Entity Ownership.pdf | ||
| 3-Form - Scrutinized.pdf | ||
| 4-Form - Anti-Human Traffic.pdf | ||
| 9-Professional Services Agreement.docx | DOCX document | |
| 2-Form - Disclosure Form.pdf | ||
| 10-Exhibit 2 - G3R67 FDOT MPO Agreement.pdf |
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Text version
CERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
(This form MUST be submitted with each bid or offer exceeding $100,000, as well as with any bid or offer that may be paid for under FEMA PA Grant)
The undersigned Contractor certifies, to the best of his or her knowledge, 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 an 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 Form to Report Lobbying,” in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients 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 31, U.S.C. § 1352. 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.
The Contractor, , certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 et seq., apply to this certification and disclosure, if any.
Signature of Contractor’s Authorized Official
Name and Title of Contractor’s Authorized Official
Date
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