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, related to Asphalt Material for Lubbock County. 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 form outlines specific requirements for proposers, including disclosure of any non-federal funds used for lobbying purposes and a mandate to include similar certification language in all subawards and subcontracts. Failure to complete and submit this certification can result in civil penalties ranging from $10,000 to $100,000 for each violation. The document provides blank spaces for an organization's name, address, authorized signatory's signature, date, and title, and is intended to be returned to the Lubbock County Director of Purchasing.
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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 | ||
| 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 | ||
| 3-Certification Regarding Lobbying.pdf | ||
| 6-Vendor Acknowledgement.pdf | ||
| 2-Certification Regarding Energy Firearm.pdf | ||
| 4-Non-Collusive Bidding Certificate.pdf |
Show all 13
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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 .