Byrd_Anti-LobbyingCertification.pdf

This document is a Byrd Anti-Lobbying Amendment Certification form for federal contracts or grants exceeding $100,000. The certification requires the undersigned to affirm that no federal appropriated funds have been or will be paid to any person for influencing or attempting to influence a federal contract, grant, loan, or cooperative agreement. The document mandates disclosure of any non-federal funds used for lobbying activities and requires the language of this certification to be included in all subawards, subcontracts, and related documents.

The certification carries legal implications, specifically that providing false information is a material representation of fact. Violations can result in civil penalties ranging from $10,000 to $100,000 for each failure, as defined under the Lobbying Disclosure Act of 1995. The form provides two checkbox options: one certifying no non-federal funds will be used for lobbying, and another allowing attachment of a Standard Form LLL describing planned lobbying activities. The document is dated for execution in 2021 and requires the signature, name, title, and organization of the executing official.