10-Certification Federally Funded.pdf
PDF 49 KB Posted
- Attached to
- Lake Nasworthy Boat Ramp Construction Phase 1
- Solicitation number
- OP-01-26
- Issued by
- Travis County, Texas
About this file
This is a Certification for Federally Funded Projects form from the City of San Angelo, Texas Purchasing Division, required for the Lake Nasworthy Boat Ramp Construction Phase 1 project. The City of San Angelo Operations Department is requesting bids for the replacement of three boat ramps and three boat docks at City-owned Lake Nasworthy facilities located at Beaty Road, Knickerbocker Park, and South Concho Park. The estimated project duration is 180 days with an anticipated start date between May and April 2026.
The certification form serves as a material representation of fact that no Federal appropriated funds have been or will be paid to influence any Federal agency officer or employee in connection with the awarding of this Federal contract. Contractors are required to complete and submit this certification as a prerequisite for entering into the transaction, and the language must be included in all subawards at all tiers, including subcontracts and subgrants. Any person who fails to file the required certification is subject to civil penalties ranging from $10,000 to $100,000 for each failure. The project is Federally funded, making compliance with 31 U.S.C. Chapter 38 regarding administrative remedies for false claims and statements mandatory for all contractors and subcontractors.
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CITY OF SAN ANGELO, TEXAS
PURCHASING DIVISION
72 West College Avenue, San Angelo, Texas 76903
325.657.4219 • sapurch@cosatx.us
CITY OF SAN ANGELO, TEXAS • CERTIFICATION FOR FEDERALLY FUNDED PROJECTS
CERTIFICATION FOR FEDERALLY FUNDED PROJECTS
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 instruction.
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.
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. Chap. 38, Administrative Remedies for False Claims and Statements, apply to this certification and disclosure, if any.
CONTRACTOR
AUTHORIZED AGENT • PLEASE PRINT
VENDOR
NAME TITLE
SIGNATURE
DATE
mailto:sapurch@cosatx.us
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