5-Certificate Regarding Lobbying.pdf
PDF 85 KB Posted
- Attached to
- Asphalt Mixes
- Solicitation number
- ITB 260302
- Issued by
- Hunt County, Texas
About this file
This is a Certification Regarding Lobbying form required by Lubbock County, Texas for Invitation to Bid (ITB) 260302 concerning Asphalt Mixes. The certification applies to all proposers submitting bids for this procurement opportunity and must be completed, signed, dated, and returned to the Lubbock County Director of Purchasing. The form serves as a prerequisite for contract award and requires proposers to certify their compliance with federal lobbying regulations under 31 U.S.C.A. Section 1352.
The certification mandates that proposers confirm no federal appropriated funds have been or will be paid to influence federal or congressional officials in connection with this contract or related federal agreements. If non-federal funds are used for lobbying purposes, proposers must complete and submit Standard Form LLL, "Disclosure Form to Report Lobbying," according to its instructions. Proposers must also ensure this certification language is included in all subaward documents at all tiers and require subrecipients to certify and disclose accordingly. Failure to file the required certification subjects the proposer to civil penalties ranging from $10,000 to $100,000 for each violation. The form includes blanks for the proposer's organization name, address, city, state, zip code, and signature and title of an authorized signatory.
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Text version
CERTIFICATION REGARDING LOBBYING
(31 U.S.C.A. § 1352)
This Certification must be completed, signed, dated and returned to the Lubbock County Director of Purchasing
Procurement Number and Description: ITB 260302, ASPHALT MIXES
Proposer CERTIFIES, to the best of its knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the proposer, 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 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 proposer shall complete and submit Standard Form LLL, "Disclosure Form to Report Lobbying", in accordance with its instructions.
3. Proposer 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 the 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.
Name of Organization/Corporation: _______________________________________________________
Address: _____________________________________________________________________________
City: ____________________________ State: ___________________________ Zip Code: __________
Signature of Authorized Date
Signatory for Proposer: ______________________________________ Signed: ____________________
Title of Authorized Signatory of Proposer: __________________________________
File details come from the government source that posted it. Updated .