Attachment D - BOP-1307 LOBBYING CERTIFICATION FORM.pdf

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Attached to
Bagged De-Icing Materials 50 lb. bags - Supplement
Solicitation number
6100066498
Issued by
Pennsylvania

About this file

This is a Lobbying Certification Form (BOP-1307) related to a Pennsylvania state and local contract opportunity for Bagged De-Icing Materials in 50 lb. bags. The certification applies to contracts, grants, loans, and cooperative agreements and requires the undersigned to certify compliance with federal lobbying restrictions and disclosure requirements under Section 1352, Title 31, U.S. Code.

The form requires the certifying party to attest that no federal appropriated funds have been or will be paid to influence federal or congressional officials in connection with the awarding of the contract. If non-federal funds are used for lobbying activities related to this procurement, the certifier must complete and submit Standard Form LLL (Disclosure of Lobbying Activities). Additionally, the certifier must ensure that all sub-awards at all tiers include identical certification language and that all sub-recipients provide corresponding certifications and disclosures. The form requires signature, title, and date fields. Failure to file the required certification subjects the responsible party to civil penalties ranging from $10,000 to $100,000. The supplemental procurement is designated as a Small Business set-aside under Pennsylvania's Small Business Procurement Initiative, restricting eligibility to bidders certified as small businesses through the Department of General Services' self-certification process.

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BOP-1307

Revised 11/7/2013

LOBBYING CERTIFICATION FORM

Certification for Contracts, Grants, Loans, and Cooperative Agreements

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 any 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 of Lobbying Activities, which can be found at:

https://www.epa.gov/sites/default/files/2020-06/documents/sflll_1_2-v1.2_fill-sign.pdf

(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, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients 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 under 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 such failure.

SIGNATURE: ______________________________________________________________

TITLE: _____________________________________________ DATE: ________________

https://www.epa.gov/sites/default/files/2020-06/documents/sflll_1_2-v1.2_fill-sign.pdf

File details come from the government source that posted it. Updated .