BOP-1307 LOBBYING CERTIFICATION FORM.docx

DOCX document 94 KB Posted

Attached to
PSP Camera Sys for 31' Safeboat
Solicitation number
6100055558
Issued by
Bucks County, Bethel CDP, Pennsylvania

About this file

This document is a Lobbying Certification Form that is required for any federal contracts, grants, loans, or cooperative agreements. The form certifies that no federal appropriated funds have been paid or will be paid to influence government officials in connection with the federal award. It also requires that any sub-recipients of the federal funds must also certify and disclose accordingly. Submission of this certification is a prerequisite for entering into the federal transaction, and failure to file the required certification can result in civil penalties.

The form provides details on the certification requirements, including the specific language that must be included in any sub-award documents. It also outlines the potential civil penalties for failure to file the required certification, which range from $10,000 to $100,000.

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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 .