4-f. Certificate Regarding Lobbying.pdf
PDF 165 KB Posted
- Attached to
- Bleacher Inspections
- Solicitation number
- 26-17
- Issued by
- Rock Island County, Illinois
About this file
This document is a Certificate Regarding Lobbying form issued by the Illinois State Board of Education (ISBE) located in Springfield, IL. The form certifies that the organization and its authorized representative will not use federal appropriated funds to influence or attempt to influence government officials in connection with the awarding of federal contracts, grants, loans, or cooperative agreements. The document outlines three key compliance requirements: (1) No federal funds will be used to lobby officials, (2) Any non-federal funds used for lobbying must be disclosed using ISBE form 85-37, and (3) Subrecipients must include this certification language in all award documents.
The document includes provisions for significant civil penalties for non-compliance, specifically a civil penalty range of $10,000 to $100,000 for each failure to file the required certification. The form requires completion of multiple fields including organization name, PR/Award number or project name, name of authorized representative, their title, an original signature, and the date of signing. This certification is considered a material representation of fact and is a prerequisite for entering into transactions governed by Section 1352, Title 31 of the U.S. Code.
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Text version
ILLINOIS STATE BOARD OF EDUCATION
100 North First Street
Springfield, IL 62777-0001
CERTIFICATE REGARDING LOBBYING
The undersigned certifies, to the best of his or her 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 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 undersigned shall complete and submit ISBE 85-37, “Disclosure of Lobbying Activities,” in accordance with its instructions.
(3) 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 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.
Organization Name
PR/Award Number or Project Name
Name of Authorized Representative
Title
Original Signature of Authorized Representative
Date
Only change was moving up the signature area.
File details come from the government source that posted it. Updated .