BOP-1307 Lobbying Certification Form.pdf

PDF 66 KB Posted

Attached to
8528 Trench Shoring Equipment
Solicitation number
6100066353
Issued by
Allegheny County, Dauphin County, Harveys Lake Borough, Pennsylvania

About this file

This is a Lobbying Certification Form issued by the Pennsylvania Emergency Management Agency (PEMA) in connection with an Invitation for Bid (IFB) for Trench Shoring Equipment. The certification must be completed and submitted by bidders whose bid submission exceeds $100,000.00. All bids must be submitted electronically by 1200 hours on July 16, 2026, to the sole point of contact, Cris Rivera, at crisrivera@pa.gov or 717-346-3106. Bidders are prohibited from distributing any part of their bids beyond the Issuing Office and may not share bid information with other Commonwealth personnel or competing bidders, with violations potentially resulting in bid rejection or contract award rescission.

The Lobbying Certification Form certifies 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 federal contract award. If non-federal funds have been or will be used for lobbying purposes, bidders must complete and submit Standard Form-LLL, Disclosure of Lobbying Activities. Bidders must ensure this certification language is included in all sub-award documents at all tiers and require sub-recipients to certify and disclose accordingly. Failure to file the required certification subjects the non-compliant party to civil penalties ranging from $10,000 to $100,000.

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Text version

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 .