2-Certificate Regarding Lobbying.pdf
PDF 86 KB Posted
- Attached to
- Janitorial Services
- Solicitation number
- ITB 260301
- Issued by
- Hunt County, Texas
About this file
This is a Certification Regarding Lobbying form required by Lubbock County for Invitation to Bid (ITB) 260301 for Janitorial Services at the Medical Examiner's Office in Texas. The certification document serves as a mandatory compliance requirement for all proposers submitting bids for this contract opportunity. Proposers must complete, sign, date, and return the form to the Lubbock County Director of Purchasing prior to bid submission. The form certifies that no federal appropriated funds have been or will be paid to influence federal officials in connection with the contract award, and requires disclosure of any non-federal funds used for lobbying purposes through submission of Standard Form LLL if applicable.
The certification is a material representation of fact required under Section 1352, Title 31, U.S. Code, and submission is a prerequisite for contract award. Proposers must include identical certification language in all subaward documents at all tiers and require subrecipients to certify and disclose accordingly. Failure to file the required certification subjects the proposer to civil penalties ranging from $10,000 to $100,000 for each violation. The form requires the proposer's legal organization name, complete address, signature of an authorized signatory, title of the authorized signatory, and the date of certification.
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Text version
CERTIFICATION REGARDING LOBBYING
(31 U.S.C.A. § 1352) This Certification must be completed, signed, dated and returned to the Lubbock County Director of Purchasing
Procurement Number and Description: ITB 260301 JANITORIAL SERVICES – MEDICAL EXAMINERS
OFFICE
Proposer CERTIFIES, to the best of its knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the proposer, 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 proposer shall complete and submit Standard Form LLL, "Disclosure Form to Report Lobbying", in accordance with its instructions.
3. Proposer 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.
Name of Organization/Corporation: _______________________________________________________
Address: _____________________________________________________________________________
City: ____________________________ State: ___________________________ Zip Code: __________
Signature of Authorized Date
Signatory for Proposer: ______________________________________ Signed: ____________________
Title of Authorized Signatory of Proposer: __________________________________
File details come from the government source that posted it. Updated .