3-Certification Regarding Lobbying.pdf
PDF 84 KB Posted
- Attached to
- Asphalt Material State and local contract opportunity
- Solicitation number
- ITB 250703
- Issued by
- Hunt County, Texas
About this file
This document is a Certification Regarding Lobbying form for Procurement Number ITB 250703, issued by Lubbock County Director of Purchasing for ASPHALT MATERIAL. The certification requires proposers to affirm that they have not used federal appropriated funds to influence or attempt to influence government officials in connection with federal contracts, grants, loans, or cooperative agreements.
The document outlines specific requirements for lobbying disclosure, including the potential submission of Standard Form LLL if non-federal funds are used for lobbying purposes. Proposers are required to include this certification language in all subaward documents and are subject to civil penalties of $10,000 to $100,000 for failure to file the required certification. The form provides space for the proposing organization to enter its name, address, and authorized signatory details, but no specific company information is filled in on this template document.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 2-Certification Regarding Energy Firearm.pdf | ||
| 4-Non-Collusive Bidding Certificate.pdf | ||
| 1-BID Table.pdf | ||
| 3-Certification Regarding Lobbying.pdf | ||
| 6-Vendor Acknowledgement.pdf | ||
| 5-Cooperative Purchasing Agreement.pdf | ||
| 7-ITB 250703 Asphalt Material.pdf | ||
| 5-Cooperative Purchasing Agreement.pdf | ||
| 7-ITB 250703 Asphalt Material.pdf | ||
| 1-BID Table.pdf | ||
| 6-Vendor Acknowledgement.pdf | ||
| 2-Certification Regarding Energy Firearm.pdf | ||
| 4-Non-Collusive Bidding Certificate.pdf |
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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 250703, ASPHALT MATERIAL
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 the 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 .