Byrd_Anti-LobbyingCertification.pdf

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

The form requires the undersigned to disclose any non-federal funds used or planned to be used for lobbying activities related to the application, award, or contract. If non-federal funds have been used for lobbying, the organization must attach a Standard Form LLL "Disclosure of Lobbying Activities." Failure to comply with this certification can result in a civil penalty ranging from $10,000 to $100,000 for each failure. The document is to be executed and signed by an authorized official, with spaces provided for the organization's name, the official's name and title, and the date of execution.