9-Attachment D-2 Lobbying Activities.docx
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- Solicitation number
- RFP-256-26
- Issued by
- Boulder County, Colorado
About this file
This is a Disclosure of Lobbying Activities form (Standard Form LLL) required under 31 U.S.C. Section 1352, submitted by Boulder County Community Planning and Permitting in Colorado for a Federal Transit Administration grant related to the Ride Gunbarrel & Ride SouthEast On-Demand Transit Services contract opportunity. The form serves as a material representation of fact certifying whether any lobbying activities have occurred in connection with federal funding assistance. The disclosure is mandatory for all entities receiving federal funds and must be submitted during the bid/offer/application phase, with the reporting entity identified as Boulder County Community Planning and Permitting located in Boulder, Colorado.
The form requires complete identification of any lobbying registrants and individuals performing lobbying services on behalf of the applicant, along with certification by an authorized representative. Failure to file the required disclosure subjects the reporting entity to civil penalties ranging from $10,000 to $100,000 for each violation. This disclosure will be reported to Congress semi-annually and made available for public inspection. The form was authorized for reproduction as of its revision date of July 1997, with an Office of Management and Budget expiration date of June 30, 2028.
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ATTACHMENT D-2: DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 OMB Number: 4040-0013 Expiration Date: 06/30/2028
1. * Type of Federal Action:
a. contract
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f. loan insurance
2. * Status of Federal Action:
a. bid/offer/application
b. initial award
c. post-award
3. * Report Type:
a. initial filing
b. material change
4. Name and Address of Reporting Entity:
_________Prime _______SubAwardee
* Name
Boulder County Community Planning and Permitting
* Street 1Street 2
* City Boulder State CO Zip
Congressional District, if known:
5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
6. * Federal Department/Agency:
Federal Transit Administration
7. * Federal Program Name/Description:
Assistance Listing Number, if applicable:
| 8. Federal Action Number, if known: |
| 9. Award Amount, if known: |
10. a. Name and Address of Lobbying Registrant:
Prefix* First Name Middle Name
* Last NameSuffix
* Street 1 Street 2
* CityStateZip
b. Individual Performing Services (including address if different from No.
10a) Prefix* First N Middle Name
* Last NameSuffix
* Street 1Street 2
* CityStateZip
11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when the transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
* Signature: Completed on submission to Grants.gov *Name:Prefix* First Name Middle Name
* Last NameSuffix
Title:Telephone No.:Date: Completed on submission to Grants.gov
| Federal Use Only: |
| Authorized for Local Reproduction Standard Form - LLL (Rev. 7-97) |
File details come from the government source that posted it. Updated .