6-I. BYRD ANTI-LOBBYING CERTIFICATION FORM.pdf
PDF 92 KB Posted
- Attached to
- 2025 Driver Feedback Sign Equipment
- Solicitation number
- 269- 2026-152
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This document is a Byrd Anti-Lobbying Certification form for ITB# 269-2025-152, related to 2025 Driver Feedback Sign Equipment. The certification requires potential contractors to affirm that they have not and will not use federal appropriated funds to influence or attempt to influence government officials in connection with federal contracts, grants, loans, or cooperative agreements. The document outlines specific requirements for reporting any lobbying activities and mandates that the certification language be included in all subawards and subcontracts.
The certification carries significant legal and financial implications, with potential civil penalties ranging from $10,000 to $100,000 for each failure to file the required certification. Contractors must complete and submit Standard Form-LLL if any non-federal funds have been or will be used for lobbying contacts. The document emphasizes the importance of truthfulness and accuracy in the certification, noting that it is a material representation of fact upon which the transaction is based, and is subject to provisions of 31 U.S.C. § 3801 and related regulations.
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Text version
2025 DRIVER FEEDBACK SIGN EQUIPMENT
ITB# 269-2025-152
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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