1-Lobbying Certification.pdf

This document is a Certification Regarding Lobbying form for federal contracts, grants, loans, and cooperative agreements. The form requires certification that no federal appropriated funds have been or will be paid to any person for influencing or attempting to influence a member of Congress, a federal agency officer, or an employee of a Member of Congress in connection with the award of any federal contract, grant, loan, or cooperative agreement.

The certification mandates that if any funds other than federal appropriated funds have been or will be paid for such influencing activities, it must be disclosed. The document warns that making a false certification is a material representation of fact subject to legal penalties. 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 form requires the organization name, award number or project name, and signature of an authorized representative to complete the lobbying disclosure process.