Certificate_Regarding_Lobbying_USDA.pdf
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- Solicitation number
- 25134-RFP-DST
- Issued by
- Hillsborough County, Florida
About this file
This document is a Certification Regarding Lobbying form for contracts, grants, and cooperative agreements, applicable to federal transactions. The certification requires the undersigned to affirm that no federal appropriated funds have been or will be paid to influence or attempt to influence any congressional or agency officials in connection with the awarding of federal contracts, grants, loans, or cooperative agreements. The form mandates that if any non-federal funds are used for lobbying purposes, the applicant must complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying.
The certification is a material representation of fact, with submission being a prerequisite for entering into the transaction as imposed by Section 1352, title 31, U.S. Code. Failure to file the required certification can result in civil penalties ranging from $10,000 to $100,000 for each failure. The document requires signatures from two authorized officials - an Executive Director and a Chief Financial Officer - and is to be completed for a specific grantee and grant program (noted as NSLP or SFSP in the template).
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Text version
CERTIFICATION REGARDING LOBBYING
CERTIFICATION FOR CONTRACTS, GRANTS, 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 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 Form to Report Lobbying, in accordance with its instructions.
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 sub-contracts, subgrants, 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 by 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 each such failure.
By Date:
Signature of Official (Executive Director) Authorized to Sign Application
By Date:
Signature of Official (Chief Financial Officer) Authorized to Sign Application
For:
Name of Grantee (Sponsor Name)
Title of Grant Program (NSLP or SFSP)
| Date: |
| Date_2: |
| Name of Grantee (Sponsor Name): |
| Title of Grant Program (NSLP or SFSP): |
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