BEN-25-048 Exhibit G Certification Regarding Lobbying.pdf

PDF 432 KB Posted

Attached to
BEN-25-048 SNAP/50
Solicitation number
RFP-125291
Issued by
Virginia

About this file

This file is a Certification Regarding Lobbying (Exhibit G) for a state and local contract opportunity in Virginia related to the Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) program (BEN-25-048). The certification establishes the regulatory requirements and compliance obligations for entities bidding on or awarded this contract. The document outlines that no Federal appropriated funds have been or will be paid to influence officers or employees of any agency, Members of Congress, or their staff in connection with the awarding of Federal contracts, grants, loans, or cooperative agreements. The certification applies to all tiers of subawards, including subcontracts and subgrants, requiring all subrecipients to certify and disclose accordingly.

The certification serves as a material representation of fact and is a mandatory prerequisite for contract participation under section 1352 of title 31, U.S. Code. Any person or entity failing to file the required certification or submit the Standard Form-LLL "Disclosure of Lobbying Activities" if applicable is subject to civil penalties ranging from $10,000 to $100,000 for each failure. The document requires authorized representatives to provide their signature, printed name, title, and date on the certification form, confirming their knowledge and belief that no prohibited lobbying activities or expenditures have occurred in connection with this SNAP E&T contract opportunity.

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Other files

File Type Posted
BEN-25-048 Exhibit C Activities and Outcomes Form.pdf PDF
BEN-25-048 Appendix B Proprietary Confidential Information Identification Form (1).pdf PDF
BEN-25-048 Exhibit E Cloud Terms and Conditions .docx DOCX document
BEN-25-048 Exhibit L Supplier Procurement and Subcontracting Plan.docx DOCX document
BEN-25-048 Exhibit K Assurances Non-Construction Programs.pdf PDF
BEN-25-048 Exhibit H Statement of Work .docx DOCX document
BEN-25-048- RFP .docx DOCX document
BEN-25-048 Appendix D COV Ramp Assessment.xlsx XLSX spreadsheet
BEN-25-048 Exhibit D Statement of Work (SOW) Change Order Template.docx DOCX document
BEN-25-048 Exhibit B Budget.xlsx XLSX spreadsheet
BEN-25-048 Appendix A State Corporation Commission Form.docx DOCX document
BEN-25-048- Exhibit M-2 Cloud Oversight Services (COV RAMP) Nondisclosure Agreement.docx DOCX document
BEN-25-048 Exhibit N Service Level Agreements.docx DOCX document
BEN-25-048 Appendix E Supplier Exceptions to VITA Standard Contract.docx DOCX document
BEN-25-048 Addendum No. 1 .pdf PDF
BEN-25-048 Appendix D-1 COV Ramp Guidance and Requirements.docx DOCX document
BEN-25-048 Exhibit J Electronic Data Interchange Form.docx DOCX document
BEN-25-048 Exhibit F Contract.docx DOCX document
BEN-25-048 Exhibit M COVRamp Security Questionnaire.xlsx XLSX spreadsheet
BEN-25-048 SNAP 50 50 Preproposal Conference .pptx PPTX presentation
BEN-25-048 Appendix F CoVA W9 .pdf PDF
BEN-25-048- Exhibit A Requirements.xlsx XLSX spreadsheet
BEN-25-048 Appendix C Supplier Profile .docx DOCX document
BEN-25-048 Exhibit I FFATA.docx DOCX document
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Text version

Certification for Contracts, Grants, Loans, and Cooperative Agreements

(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,'' 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 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.

If any 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 commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ''Disclosure of Lobbying Activities,'' in accordance with its instructions. Submission of this statement 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 statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

* APPLICANT'S ORGANIZATION

* SIGNATURE: * DATE:

* PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE

Suffix:

Middle Name:

* Title:

* First Name:

* Last Name:

Prefix:

CERTIFICATION REGARDING LOBBYING

(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.

The undersigned certifies, to the best of his or her knowledge and belief, that:

Statement for Loan Guarantees and Loan Insurance

The undersigned states, to the best of his or her knowledge and belief, that:

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