Attachment_D_-_Non-Lobbying_Certification.pdf
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- Solicitation number
- RFP-2026 #1
- Issued by
- Orange County, California
About this file
This is a Non-Lobbying Certification document required by the City of Tustin for submission with bids and proposals related to federally funded projects. The certification applies to the Citywide Vision Zero Action Plan project in California, which involves professional consulting services to develop a comprehensive safety strategy for reducing roadway fatalities and serious injuries. The City received $280,000 in federal funding through the Safe Streets and Roads for All Planning Grant, supplemented by local matching funds, to support this initiative. The completed plan must satisfy all requirements of the SS4A Comprehensive Safety Action Plan and establish a framework for prioritizing future safety improvements.
The prospective participant must certify that no federal appropriated funds have been paid or will be paid to influence federal agency officers, members of Congress, or congressional employees in connection with the contract award. If non-federal funds are used for lobbying purposes, the participant must submit Standard Form-LLL disclosing such activities. This certification is mandatory and represents a material representation of fact; proposals that do not include this completed and signed form will be deemed nonresponsive. Failure to file the required certification subjects violators to civil penalties ranging from $10,000 to $100,000 for each failure. Participants must also ensure that all subcontracts exceeding $100,000 include identical certification language and that subrecipients comply accordingly.
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CITY OF TUSTIN
The prospective participant certifies, by signing and submitting this bid or proposal, 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 Federal 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 Federal 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," in conformance with its instructions.
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 prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly.
ATTACHMENT C
NON-LOBBYING CERTIFICATION
Signed:
Title:
Firm:
Date:
THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL.
PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE.
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