7-Attachment C - Anti-Lobbying Certification.pdf
PDF 237 KB Posted
- Attached to
- RFB 6253 Videoscope Inspection System
- Solicitation number
- RFB 6253 Videoscope Inspection System
- Issued by
- Ventura County, California
About this file
This is an Anti-Lobbying Certification document submitted by a contractor in connection with County of Ventura Request for Bid (RFB) 6253 for a Videoscope Inspection System. The certification confirms that no Federal appropriated funds have been paid or will be paid to influence any officer or employee of an agency, Member of Congress, or Congressional employee in connection with the awarding of this Federal contract, grant, loan, or cooperative agreement. The contractor certifies that if any non-Federal funds are used for lobbying purposes in connection with this transaction, the contractor will complete and submit Standard Form-LLL, the Disclosure Form to Report Lobbying, in accordance with applicable instructions. The contractor further agrees to include the certification language in all sub-award documents at all tiers, including subcontracts and subgrants, and to require all subrecipients to certify and disclose accordingly.
The certification is a material representation of fact required under section 1352, title 31, U.S. Code, and submission is a prerequisite for entering into the transaction. Any person failing to file the required certification is subject to a civil penalty of not less than $10,000 and not more than $100,000 for each failure. The contractor certifies the truthfulness and accuracy of the certification and understands that the provisions of 31 U.S.C. Chapter 38, Administrative Remedies for False Claims and Statements, apply to this certification and disclosure. The document requires the signature and date of the contractor's authorized official, including the official's name and title.
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Text version
COUNTY OF VENTURA
#6253 Videoscope Inspection System
CERTIFICATION REGARDING LOBBYING
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 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 U. S. Department of Homeland Security Headquarters 500 C St SW Washington, D.C.
20042 Page 20 of 25 www.fema.gov/procurement-disaster-assistance-team To Table of Contents 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 sub-awards 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
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