4-Lobbying Certification.pdf

This document is a Certification Regarding Lobbying form for federal contracts, grants, loans, and cooperative agreements. The form requires the undersigned to certify that no federal appropriated funds have been or will be paid to influence or attempt to influence any government official, Member of Congress, or their employees in connection with the award of a federal contract, grant, loan, or cooperative agreement.

The certification includes important legal provisions, such as requiring the inclusion of this language in award documents for all subawards and subcontracts, and mandating disclosure of any lobbying activities. The document warns that making a false certification is a material representation of fact subject to legal penalties. Specifically, any person who fails to file the required certification can be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each failure. The form provides space for an organization's name, award number or project name, and authorized representative's signature and details.