BOP-1307 LOBBYING CERTIFICATION FORM.docx
DOCX document 93 KB Posted
- Attached to
- A/C Refrigerant Recover
- Solicitation number
- 6100058855
- Issued by
- Crawford County, Pennsylvania
About this file
The document is a Lobbying Certification Form related to a state and local contract opportunity for AC Refrigerant Recovery, Recycle, and Recharge Cart services for Crawford County, Pennsylvania. The form requires the signatory to certify that no federal appropriated funds have been or will be paid to influence government officials regarding this federal contract, grant, loan, or cooperative agreement. If any non-federal funds are used for lobbying, the signatory must complete and submit the required disclosure form. The form also requires the signatory to include this certification language in all sub-awards associated with this transaction.
The related state and local contract opportunity is for AC Machine Refrigerant Recovery, Recycle, and Recharge Cart services for Crawford County, Pennsylvania. The contract is being issued by the Pennsylvania Department of Transportation (PennDOT). No other details about the contract scope, quantities, response dates, award dates, or contract term are provided.
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Text version
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.gsa.gov/Forms/TrackForm/33144
(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: ________________
BOP-1307
Revised 11/7/2013 image1.png
File details come from the government source that posted it. Updated .