BOP-1307 Lobbying Certification Form.pdf

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Attached to
SFA Mobility Turnout Gear
Solicitation number
6100062072
Issued by
Dauphin County, Mercer County, Harveys Lake Borough, Lewistown Borough, Pennsylvania

About this file

This document is a Lobbying Certification Form related to federal contracts, grants, loans, and cooperative agreements. It requires the signatory to certify that no federal appropriated funds have been or will be paid to influence or attempt to influence federal government officials in connection with the relevant agreement. The signatory must also agree to disclose any such payments of non-federal funds and require the same certification and disclosure from sub-recipients. Failure to file the required certification can result in civil penalties. The form serves as a material representation of fact relied upon for the transaction.

The document outlines the statutory and regulatory requirements for certifying and disclosing lobbying activities in relation to federal funding agreements. It provides instructions for completing and submitting the Standard Form-LLL, Disclosure of Lobbying Activities. The certification must be included in all sub-award documents, ensuring flow-down compliance throughout the funding chain.

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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.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: ________________

https://www.gsa.gov/Forms/TrackForm/33144

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