1-RFQ Sec8. (2) Lobbying Certification.pdf
PDF 94 KB Posted
- Attached to
- 403(b) Retirement Plan Consultant Services
- Solicitation number
- 25-2-16001
- Issued by
- Madison County, Illinois
About this file
This document is a Lobbying Certification form for the Agency for Community Transit (ACT) 403(b) Retirement Plan Consulting Services, solicitation number 25-2-16001. The form is a standard U.S. government certification that requires the undersigned to affirm they have not used federal appropriated funds to influence or attempt to influence any government officials in connection with federal contracts, grants, loans, or cooperative agreements.
The certification outlines three key requirements: (1) No federal funds have been or will be paid to influence government officials, (2) If non-federal funds are used for lobbying, a Standard Form-LLL must be completed and submitted, and (3) The certification language must be included in all subawards and subcontracts. Failure to file the required certification can result in civil penalties ranging from $10,000 to $100,000 for each violation. The document provides space for the company, date, signature, and title of the certifying individual.
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Text version
Agency for Community Transit ACT 403(b) Retirement Plan Consulting Services No. 25-2-16001
Lobbying Certification
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 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 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 each such failure.
Date Company Signature Title
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