4-f. Certificate Regarding Lobbying.pdf

This document is a Certificate Regarding Lobbying issued by the Illinois State Board of Education located in Springfield, IL. The certificate requires an authorized representative to certify that no federal appropriated funds have been or will be paid to any person for influencing or attempting to influence federal government officials or employees in connection with the awarding of a federal contract, grant, loan, or cooperative agreement.

The document outlines specific disclosure requirements, mandating that the language of this certification be included in award documents for all subawards at all tiers, and that all subrecipients must certify and disclose accordingly. The certification is considered a material representation of fact, and failure to file the required certification can result in civil penalties ranging from less than $10,000 to not more than $100,000 for each such failure. The form is designed to be completed by an authorized representative of an organization, with spaces for the organization name, PR/Award Number or Project Name, representative name, title, signature, and date.