5-Form 5 - Byrd Anti-Lobbying Certification.docx
DOCX document 27 KB Posted
- Attached to
- Small Business Readiness Curriculum Development
- Solicitation number
- 269-2026-156
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This is a Byrd Anti-Lobbying Certification form required for federal contract compliance with the City of North Carolina for the Small Business Readiness Curriculum Development contract opportunity. The certification pertains to federal appropriated funds and establishes that no federal funds will be used to influence government officials or members of Congress in connection with the awarding of federal contracts, grants, loans, or cooperative agreements. The form requires the submitting company to certify compliance with 31 U.S.C. § 1352 and acknowledge understanding that all subawards at all tiers must include identical certification language and that all subrecipients must certify and disclose accordingly.
The certification represents a material representation of fact and is a prerequisite for contract award. Failure to submit the required certification or complete Standard Form-LLL disclosure (if non-federal funds are used for lobbying contacts) subjects the company to civil penalties ranging from $10,000 to $100,000 for each failure. The undersigned authorized representative must print their name, provide the company name and address, sign the document, and date the certification. The provisions of 31 U.S.C. § 3801 et seq. apply to the certification and any related disclosures.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 8-C. Sample Contract - Small Bus. Read. Curr. Dev..docx | DOCX document | |
| 7-Form 6 - Companys Background Response Form.docx | DOCX document | |
| 11-B. Small Bus. Readin. Curric. Dev. - RFP 269-2026-156.pdf | ||
| 2-Form 3 - MWSBE Utilization Form.docx | DOCX document | |
| 6-Form 7 - Exceptions.docx | DOCX document | |
| 10-A. Bonfire Instructions Procurement Portal.pdf | ||
| 1-Form 4 - Certification Regarding Debarment.docx | DOCX document | |
| 9-Form 1 - Proposal Submission Form.docx | DOCX document | |
| 4-Form 8 - Pricing Table.xlsx | XLSX spreadsheet | |
| 3-Form 2 - References.docx | DOCX document |
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Text version
BYRD ANTI-LOBBYING CERTIFICATION
The undersigned certifies, to the best of their 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 of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of and 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 making lobbying contacts to 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 this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form—LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96)].
3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including all 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 by 31 U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). 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.
___________________________________ (the “Company”) certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Company understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certification and disclosure, if any.
(Print Name) Company Name
Authorized Signature Address
| ________________________________ | _____________________________ | |
| Date | City/State/Zip |
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