Byrd_Anti-LobbyingCertification.pdf

The document is a Byrd Anti-Lobbying Amendment Certification form for federal contracts or grants exceeding $100,000. The certification requires the undersigned to attest that no federal appropriated funds have been or will be paid to any person for influencing or attempting to influence a federal agency, member of Congress, or congressional employee in connection with the awarding of a federal contract, grant, loan, or cooperative agreement.

The form mandates that if any non-federal funds have been or will be paid to any person for lobbying purposes related to the federal transaction, the undersigned must complete and submit a Standard Form-LLL "Disclosure Form to Report Lobbying." The certification is a material representation of fact, and failure to comply can result in a civil penalty between $10,000 and $100,000 for each such failure. The form provides two checkbox options: one affirming no non-federal funds will be used for lobbying, and another indicating an attached disclosure of lobbying activities using non-federal funds.