9-00466 - Lobbying.pdf
PDF 75 KB Posted
- Attached to
- Indian River County Fire/EMS Station #15
- Solicitation number
- 2026026
- Issued by
- Indian River County, Wilton Manors City, Florida
About this file
This is a Certification Regarding Lobbying form required for submission with bids or offers exceeding $100,000 or any bid that may be paid under a FEMA Public Assistance Grant for the Indian River County Fire/EMS Station #15 construction project in Vero Beach, Florida. The form serves as a mandatory certification that the contractor has not paid and will not pay any federal appropriated funds to influence federal agency officers, members of Congress, or their employees in connection with the awarding of the federal contract, grant, loan, or cooperative agreement. The contractor must certify the accuracy of this statement and agree to include identical language in all subaward documents at all tiers, requiring all subrecipients to certify and disclose accordingly.
Submission of this certification is a prerequisite for contract execution, with violations subject to civil penalties ranging from $10,000 to $100,000 for each failure to file. The contractor's authorized official must sign and date the certification, acknowledging that the provisions of 31 U.S.C. § 3801 et seq. apply. If any non-federal funds have been or will be paid for lobbying purposes in connection with this federal transaction, the contractor must complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
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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
| The Contractor: |
| Name and Title of Contractors Authorized Official: |
| Date: |
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