3-H. BYRD ANTI-LOBBYING CERTIFICATION FORM.pdf
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- Attached to
- Guardrail Installation and Repair Services
- Solicitation number
- 269- 2026-176
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This is a Byrd Anti-Lobbying Certification Form for Invitation to Bid (ITB) #269-2025-176 issued by the City of Charlotte, North Carolina, for Guardrail Installation and Repair Services. The City seeks a qualified vendor to provide guardrail installation and repair services on various roads throughout Charlotte as needed upon request. The scope of work includes maintenance and repair of guardrail at multiple locations designated by the City Engineer or their designee, with the contractor required to replace all necessary guardrail components and stabilize appurtenances at each site. The contract will be awarded to a qualified vendor and will be used as an on-call service for guardrail maintenance and repairs throughout the city.
This certification form serves as a prerequisite for contract award and requires the bidding company to certify that no federal appropriated funds have been or will be paid to influence federal contract decisions. Bidders must disclose any non-federal funds used for lobbying activities by submitting Standard Form-LLL if applicable. The form requires certification from an authorized company representative and applies to all subcontractors and subrecipients at all tiers. Failure to submit the required certification subjects bidders to civil penalties ranging from $10,000 to $100,000 per violation. The certification also binds the company to provisions under 31 U.S.C. § 3801 et seq.
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Text version
GUARDRAIL INSTALLATION & REPAIR SERVICES
ITB# 269-2025-176
BYRD ANTI-LOBBYING CERTIFICATION
The undersigned certifies, to the best of their 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 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 and 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 making lobbying contacts to 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 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 instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96)].
3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including all 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 by 31 U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). 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.
___________________________________ (the “Company”) certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Company understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certification and disclosure, if any.
(Print Name) Company Name
Authorized Signature Address
Date City/State/Zip
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