5-Lobbying Certification.pdf
PDF 92 KB Posted
- Attached to
- Pediatric Healthcare Nursing Services
- Solicitation number
- 187-26
- Issued by
- Fulton County, Georgia
About this file
This is a Lobbying Certification form applicable to Fulton County Schools in Georgia for federal grants, sub-grants, cooperative agreements, and contracts exceeding $100,000 in federal funds. The certification is required as a prerequisite for entering into the Pediatric Healthcare Nursing Services contract opportunity and is mandated by Section 1352 of Title 31, U.S. Code (the Byrd Anti-Lobbying Amendment) and 2 CFR Appendix 2 to Part 200. The submitting organization certifies that no federal appropriated funds have been paid or will be paid to influence any officer or employee of a federal agency, member of Congress, or representative of Fulton County Schools in connection with the awarding of this federal contract or any related extension, continuation, renewal, amendment, or modification thereof.
The certification represents a material representation of fact and subjects any person who fails to file the required documentation to civil penalties ranging from $10,000 to $100,000 for each failure. If any non-federal funds have been or will be used for lobbying purposes in connection with this federal grant or cooperative agreement, the submitting organization must complete and submit Standard Form-LLL (Disclosure Form to Report Lobbying) in accordance with its instructions. Additionally, the undersigned organization must ensure that this certification language is included in all award documents for covered sub-awards exceeding $100,000 in federal funds and that all sub-recipients certify and disclose accordingly.
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Certification Regarding Lobbying
Applicable to Grants, Sub-grants, Cooperative Agreements, and Contracts Exceeding $100,000 in Federal funds.
Submission of this certification is a prerequisite for making or entering into this transaction and is imposed by section 1352, Title 31, U.S. Code (The Byrd Anti-Lobbying Amendment) 2 CFR Appendix 2 to Part 200 (I). This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. 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 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 any agency, a Member of Congress, an officer or employee of Congress, an employee of a Member of Congress, or any Board Member, officer, or employee of Fulton County Schools in connection with the awarding of a Federal contract, the making of a Federal grant, the making of a Federal loan, the entering into a cooperative agreement, and the extension, continuation, renewal, amendment, or modification of a 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, an employee of a Member of Congress, or any Board Member, officer, or employee of Fulton County Schools in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL (SF-LLL), Disclosure Form to Report Lobbying, in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all covered sub-awards exceeding $100,000 in Federal funds at all appropriate tiers and that all sub-recipients shall certify and disclose accordingly.
Name/Address of Organization
Name/Title of Submitting Official
Signature Date
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