6-Exhibit C Federal Lobbying Certification Form.pdf
PDF 118 KB Posted
- Attached to
- Laptop/Hardware Refresh and Deployment Services
- Solicitation number
- B26014A
- Issued by
- Pierce County, Washington
About this file
This is an Anti-Lobbying Certification form required by 44 C.F.R. Part 18 for the Tacoma School District No. 10 in Washington State related to a Laptop/Hardware Refresh and Deployment Services contract. The certification document serves as a prerequisite for entering into a federal contract, grant, loan, or cooperative agreement and must be completed and signed by the contractor's authorized official.
The form certifies that no federal appropriated funds have been paid or will be paid to influence any federal agency official, member of Congress, or congressional staff in connection with the awarding, making, extension, continuation, renewal, amendment, or modification of the federal contract. The document requires that if any non-federal funds are used for lobbying purposes, the contractor must submit Standard Form-LLL disclosing such lobbying activities. The contractor must also include identical certification language in all subaward documents at all tiers and require subrecipients to certify and disclose accordingly. Failure to file the required certification subjects the contractor to civil penalties of not less than $10,000 and not more than $100,000 for each failure. The contractor's authorized official must sign the certification, acknowledging that false statements are subject to the provisions of 31 U.S.C. Chapter 38, Administrative Remedies for False Claims and Statements.
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Other files
| File | Type | Posted |
|---|---|---|
| 9-Appendix C VendorDeployPullSheets.pdf | ||
| 8-Appendix B Technology Pictures.pdf | ||
| 5-Exhibit B Signature From.pdf | ||
| 7-Appendix A SitesPerYear.pdf | ||
| 4-Exhibit A-3 Hardware and Services.xlsx | XLSX spreadsheet | |
| 1-RFP 26014A Hardware refresh and deployment services Final.pdf | ||
| 3-Exhibit A-2 Services Only.xlsx | XLSX spreadsheet | |
| 2-Exhibit A-1 Hardware Only.xlsx | XLSX spreadsheet |
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Text version
Tacoma School District No. 10 Exhibit C
Anti-Lobbying Certificate
44 C.F.R. Part 18 – CERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
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 office of employee of an agency, a Member of Congress, an office or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of 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 office or employee of any agency, a
Member of Congress, an office 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.
3. The undersigned shall require that the language if 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 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.
The Contractor,__________________________________________________, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any.
In addition the Contractor understands and agrees that the provisions of 31 U.S.C. Chap 38, Administrative Remedies for False Claims and Statements, apply to this certification and disclosure, if any.
Signature of Contractor’s Authorized Official
Name and Title of Contractor’s Authorized Official
______________ Date
| Name and Title of Contractors Authorized Official: |
| Name of Contractor: |
| Date: |
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