Certificate_Regarding_Lobbying_USDA.pdf
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- Solicitation number
- 26172-ITB-DST
- Issued by
- Florida
About this file
This is a Certification Regarding Lobbying form required by the U.S. Department of Agriculture (USDA) for federal contracts, grants, and cooperative agreements. The document is associated with Hillsborough County Public Schools' Student Nutrition Services procurement in Florida, which seeks quotes from qualified vendors for customized informational station panels. The certification applies to the National School Lunch Program (NSLP) or Summer Food Service Program (SFSP) grant funding. The undersigned certifies that no federal appropriated funds have been or will be paid to influence federal officers, congressional members, or their employees in connection with the award of this federal contract or grant. The form requires signatures from both the Executive Director and Chief Financial Officer of the grantee organization, along with the date of submission and the name of the sponsoring institution.
The certification constitutes a material representation of fact required under Section 1352 of Title 31, U.S. Code, and serves as a prerequisite for entering into the transaction. If any non-federal funds have been or will be used for lobbying purposes, the applicant must submit Standard Form-LLL, Disclosure Form to Report Lobbying. The certification must be included in all sub-award documents at all tiers, including sub-contracts and subgrants, with all sub-recipients required to certify and disclose accordingly. Failure to file the required certification subjects the responsible party to civil penalties ranging from $10,000 to $100,000 for each violation.
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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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