1-Lobbying Certification.pdf

This document is a Certification Regarding Lobbying form issued by the Georgia Department of Education School Nutrition Division. The form is a standard federal certification required for federal contracts, grants, loans, and cooperative agreements. It requires the authorized representative of an organization to certify that no federal appropriated funds have been or will be paid to influence or attempt to influence any government officials, members of Congress, or their employees in connection with the awarding of a federal contract, grant, loan, or cooperative agreement.

The certification includes significant legal implications, with potential civil penalties of up to $100,000 for each failure to properly disclose lobbying activities. The document mandates that the language of this certification must be included in award documents, subawards, contracts, grants, loans, and cooperative agreements, and that all subrecipients must similarly certify and disclose their lobbying activities. The form provides space for the organization name, award number or project name, and requires the signature of an authorized representative, though these fields are currently blank in this document.