Certification_and_Restrictions_on_Lobbying.pdf
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- Solicitation number
- RTSX-260048-DS
- Issued by
- Alachua County, Graceville City, Florida
About this file
This file is a Certification and Restrictions on Lobbying form required for the Eastside Bus Transfer Facility project in Graceville City, Florida. The certification document establishes that no federal appropriated funds have been or will be paid to influence federal officers, congressional members, or agency employees in connection with the awarding of federal contracts, grants, loans, or cooperative agreements. The form requires signature and certification by an authorized company official and must be completed and submitted as a prerequisite for entering into the transaction. The document mandates that identical certification language be included in all subaward documents at all tiers, including subcontracts and subgrants, with all subrecipients required to certify and disclose accordingly.
Any entity that fails to submit the required certification is subject to civil penalties ranging from $10,000 to $100,000 for each failure. The form requires completion of the signatory's name, title, company name, and date. If non-federal funds have been or will be paid for lobbying activities related to this federal contract, the bidder must complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying, in accordance with its instructions. This certification represents a material representation of fact upon which reliance is placed in the transaction, as mandated by 31 U.S.C. § 1352.
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Text version
CERTIFICATION AND RESTRICTIONS ON LOBBYING
I,______________________________________________________________________________________hereby certify (Name and title of official)
On behalf of _____________________________________________________________________________that:
(Name of Bidder/Company Name)
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 an agency, a Member of Congress, 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.
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
The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients 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 31 U.S.C. § 1352.
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.
Company:
Name: ___________________________________________________________________________________________
Title: ____________________________________________________________________________________________
Signature: Date: ______________
File details come from the government source that posted it. Updated .