4-6. Certification and Restrictions on Lobbying (Lobbying Cert).pdf
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- Solicitation number
- RFP-211-25
- Issued by
- Boulder County, Colorado
About this file
This document is a Federal Certification form for Restrictions on Lobbying, specifically a standard compliance document related to federal contract procedures. The form requires an authorized representative to certify that no federal appropriated funds have been or will be paid to influence or attempt to influence government officials or members of Congress in connection with federal contracts, grants, loans, or cooperative agreements. The certification mandates disclosure of any non-federal funds used for lobbying activities and requires the language to be included in all sub-award documents.
The form outlines significant legal and financial consequences for non-compliance, specifically a civil penalty ranging from $10,000 to $100,000 for each failure to file the required certification. By signing, the representative attests that the certification is a material representation of fact, and failure to comply can result in penalties under 31 U.S.C. § 1352. The document provides space for the bidder/company name, an authorized representative's signature, printed name, and the date of signing, serving as a standard compliance mechanism for federal contracting processes.
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Text version
Federal Certifications
CERTIFICATION AND RESTRICTIONS ON LOBBYING
I,_________________________________________________________________________________________hereby certify (Name and title of official)
On behalf of ___________________________________________________________________________________that:
(Name of Bidder/Company Name)
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 any agency, a Member of Congress, and 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.
If any funds other than federal appropriated funds have been paid or will be paid to any person influencing or attempting to influence an officer or employee of any agency, a Member of Congress, and officer or employee of Congress, or an employee of a Member of Congress in connection with the 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.
The undersigned 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 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 31 U.S.C. § 1352. 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 Bidder/Company Name:_______________________________________________________________________________
Type or print name:__________________________________________________________________________________________
Signature of authorized representative:__________________________________________ Date_________/__________/_________
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