Certification_and_Restrictions_on_Lobbying.pdf
PDF 80 KB Posted
- Attached to
- Fareboxes for Cutaway Vehicles State and local contract opportunity
- Solicitation number
- RTSX-250062-DS
- Issued by
- Alachua County, Glencoe CDP, Florida
About this file
The document is a Certification and Restrictions on Lobbying form related to a federal contract or grant, specifically associated with the City of Gainesville's procurement of fareboxes for paratransit vehicles. The form requires the bidder to certify that no federal appropriated funds have been or will be paid to influence or attempt to influence any government officials in connection with the awarding of a federal contract, grant, loan, or cooperative agreement.
The form outlines strict requirements for disclosure of any lobbying activities, with potential civil penalties ranging from $10,000 to $100,000 for failure to comply with the certification. If any non-federal funds have been or will be used to influence government officials, the bidder must complete and submit a Standard Form-LLL "Disclosure Form to Report Lobbying." The certification must also be included in all subaward documents at all tiers, including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements.
View the file
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|---|---|---|
| Fareboxes_for_Cutaway_Vehicles.pdf | ||
| Contractor_Responsibility_Certification.pdf | ||
| Prohibition_on_Certain_Telecommunications....pdf | ||
| Disclosure_of_Lobbying_Activities.pdf | ||
| Draft_Contract.pdf | ||
| Anti-Human_Trafficking_Affidavit.pdf | ||
| Federal_Tax_Liability_and_Recent_Felony_Conviction.pdf | ||
| Certification_Regarding_Debarment.pdf | ||
| Federally_Funded_Purchase_Questionnaire.pdf |
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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 .