14-Exhibit 12 to Specifications - Lobbying Certification Form.pdf
PDF 48 KB Posted
- Attached to
- Sodim Chloride (Bulk Road Salt)
- Solicitation number
- 6100045971
- Issued by
- Beaver County, Pennsylvania
About this file
This document is a Lobbying Certification Form related to a federal contract, grant, loan, or cooperative agreement. The form requires the signatory to certify that no federal appropriated funds have been or will be paid to influence or attempt to influence government officials, and that the signatory will require all sub-recipients to make the same certification. The signatory must also agree to complete and submit Standard Form-LLL, Disclosure of Lobbying Activities, if any non-federal funds have been or will be used for lobbying purposes. Submission of this certification is a prerequisite for entering into the transaction, and failure to file the required certification can result in civil penalties.
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Text version
Exhibit 12
BOP-1307
Revised 11/7/2013
LOBBYING CERTIFICATION FORM
Certification for Contracts, Grants, Loans, and Cooperative Agreements
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 any 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 of Lobbying Activities, which can be found at:
http://www.whitehouse.gov/sites/default/files/omb/assets/omb/grants/sflllin.pdf
(3) The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients 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 under 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 such failure.
SIGNATURE: ______________________________________________________________
TITLE: _____________________________________________ DATE: ________________
http://www.whitehouse.gov/sites/default/files/omb/assets/omb/grants/sflllin.pdf
File details come from the government source that posted it. Updated .