3-Certification Regarding Lobbying.pdf
PDF 84 KB Posted
- Attached to
- Aggregate Road Materials
- Solicitation number
- ITB 250706
- Issued by
- Henderson County, Texas
About this file
This document is a Certification Regarding Lobbying form for Lubbock County's Procurement Number ITB 250706 for Aggregate Road Material. The certification requires proposers to affirm they have not used federal appropriated funds 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 need to complete Standard Form LLL if non-federal funds are used for influencing. Proposers must include this certification language in all subawards and lower-tier contracts. Failure to file the required certification can result in civil penalties ranging from $10,000 to $100,000 for each violation. The form is to be completed, signed, and returned to the Lubbock County Director of Purchasing, with space provided for the organization's name, address, signature, and title of the authorized signatory.
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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 250706, AGGREGATE ROAD 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 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 .