4-PDA Lobbying Certification 3-3-26.docx

DOCX document 30 KB Posted

Attached to
Legal Services for Aging Adults
Solicitation number
26-25
Issued by
Montgomery County, Pennsylvania

About this file

This file is a Lobbying Certification exhibit from the Pennsylvania Department of Aging, required as a standard contract provision for state and local contract opportunities. The certification form requires the undersigned to attest that no federal appropriated funds have been or will be paid to influence federal officers, members of Congress, or congressional employees in connection with the awarding of federal contracts, grants, loans, or cooperative agreements. If non-federal funds are used for such lobbying activities, the contractor must complete and submit Standard Form-LLL, Disclosure of Lobbying Activities, in accordance with its instructions. The certification must be included in all subaward documents at all tiers, including subcontracts and subgrants, with all subrecipients required to certify and disclose accordingly.

This certification is designated as a material representation of fact upon which reliance is placed when the contract transaction is made or entered into, with submission serving as a prerequisite for transaction execution under Section 1352, Title 31, U.S. Code. Any person or entity that fails to file the required certification is subject to civil penalties ranging from not less than $10,000 to not more than $100,000. The document requires the signature, title, and date of an authorized representative of the contracting entity, confirming compliance with federal lobbying restrictions and disclosure requirements.

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EXHIBIT

Standard Contract Provisions from PA Department of Aging

LOBBYING CERTIFICATION

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 an 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 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.

(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 Standard Form-LLL, 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 document 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 under 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 such failure.

Authorized Signer: _____________________________________________ Title: _______________________________________________ Date: ________________

File details come from the government source that posted it. Updated .