9-Byrd Anti-Lobbying Federal Form.pdf
PDF 129 KB Posted
- Attached to
- 2026 Monarch NRSA Downspout Removal Program
- Solicitation number
- 4470
- Issued by
- Clinton County, Kentucky
About this file
This is a Federal Requirement Certification for Contracts, Grants, Loans, and Cooperative Agreements, commonly known as the Byrd Anti-Lobbying Federal Form, applicable to any entity entering into a federally-funded transaction with a government agency. The certification affirms that no federal appropriated funds have been or will be paid to influence officers or employees of federal agencies, members of Congress, or congressional employees in connection with the award of federal contracts, grants, loans, or cooperative agreements. The document serves as a material representation of fact and is a prerequisite for executing any federally-funded transaction. Any contractor or subrecipient must include equivalent certification language in all subawards at every tier, including subcontracts and subgrants, with all parties required to certify and disclose accordingly.
The certification imposes mandatory compliance obligations on contractors and their authorized officials, who must sign and date the form to attest to the truthfulness and accuracy of their statements. Failure to submit the required certification subjects violators to civil penalties ranging from $10,000 to $100,000 for each violation. The form also invokes the provisions of 31 U.S.C. Chapter 38 regarding Administrative Remedies for False Claims and Statements, establishing that false certifications may result in additional legal consequences. Contractors must understand that this certification applies to any non-federal funds used for lobbying activities as well, requiring disclosure on Standard Form-LLL if such funds are involved.
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Text version
Federal Requirement Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
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.
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.
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 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
| Name and Title of Contractors Authorized Official: |
| Date: |
| Text1: |
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