6-Form - Lobbying.pdf
PDF 68 KB Posted
- Attached to
- Annual Bid for 93% Sulfuric Acid
- Solicitation number
- 2027001
- Issued by
- Indian River County, Florida
About this file
This document is a Certification Regarding Lobbying form required for federal contracts, grants, loans, and cooperative agreements exceeding $100,000 or those potentially funded under FEMA Public Assistance grants. The form applies to the State of Florida's Annual Bid for 93% Sulfuric Acid, which seeks firm fixed prices for the delivery of this chemical product. The certification must be submitted as a prerequisite to bid submission and applies to any contract, grant, loan, or cooperative agreement resulting from this procurement opportunity.
The contractor certifies that no federal appropriated funds have been or will be paid to influence federal officers, members of Congress, or their employees in connection with this contract award. If non-federal funds are used for lobbying purposes, the contractor must complete and submit Standard Form-LLL. The certification requirement extends to all subrecipients and subcontractors at all tiers of the contract. Failure to submit the required certification subjects the contractor to civil penalties ranging from $10,000 to $100,000 per violation. The contractor's authorized official must sign and date the form, affirming the truthfulness and accuracy of the certification and acknowledging applicability of 31 U.S.C. § 3801 et seq.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
(This form MUST be submitted with each bid or offer exceeding $100,000, as well as with any bid or offer that may be paid for under FEMA PA Grant)
The undersigned Contractor certifies, to the best of his or her knowledge, 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 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 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 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 31, U.S.C. § 1352. 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. § 3801 et seq., apply to this certification and disclosure, if any.
Signature of Contractor’s Authorized Official
Name and Title of Contractor’s Authorized Official
Date
File details come from the government source that posted it. Updated .