2-Certification Regarding Lobbying.pdf

PDF 120 KB Posted

Attached to
Online Exam Security & Remote Proctoring Solution
Solicitation number
RFP 27-04
Issued by
Upton County, Texas

About this file

This is a Certification Regarding Lobbying form applicable to a Science Discount Catalog contract opportunity in Texas. The certification document serves as a prerequisite requirement for entities entering into federal contracts, grants, loans, or cooperative agreements. The form addresses federal appropriations and lobbying activities, requiring the undersigned to certify that no federal appropriated funds have been or will be paid to influence officers or employees of Congress or Members of Congress in connection with the award or modification of any federal transaction. The document requires inclusion of identical certification language in all sub-award documents at all tiers, including subcontracts and sub-grants.

The certification represents a material representation of fact under section 1352, title 31 of the US Code. Any person or entity failing to file the required certification is subject to civil penalties ranging from $10,000 to $100,000 for each failure. The form requires signature, date, and printed name of the authorized company representative but contains no specific pricing terms, set-asides, funding sources, or contract performance details related to the Science Discount Catalog opportunity itself. This document functions solely as a compliance and disclosure instrument regarding lobbying activities and federal fund usage.

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Other files

File Type Posted
6-RFP 27-04 Science Discount Catalog.pdf PDF
4-Conflict of Interest.pdf PDF
3-Certification of Debarment.pdf PDF
7-SFDRCISD Vendor Form REV.pdf PDF
5-w-9.pdf PDF
8-Form 1295.pdf PDF
1-Declaration of Compliance.pdf PDF

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Text version

CERTIFICATION REGARDING LOBBYING

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 Congress, or an employee of a Member of Congress in connection with the awarding 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 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 certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, US 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.

Company Authorized Representative (Print)

Signature Date

Company:
Authorized Representative Print:
Date:

File details come from the government source that posted it. Updated .