Certification_and_Restrictions_on_Lobbying.pdf
PDF 80 KB Posted
- Attached to
- Bus Shelters and Amenities
- Solicitation number
- RTSX-260026-DS
- Issued by
- Alachua County, Glencoe CDP, Florida
About this file
This is a Certification and Restrictions on Lobbying form required for federal contract submissions. The document serves as a material representation of fact that no federal appropriated funds have been or will be paid to influence federal officers, members of Congress, or congressional employees in connection with the awarding of federal contracts, grants, loans, or cooperative agreements related to the City of Gainesville's Regional Transit System bus shelters and amenities project in Florida. The certification requires the signing official to attest on behalf of the bidding company that all federal lobbying restrictions have been observed and that this language will be included in all subaward documents at all tiers.
If any non-federal funds have been or will be used for lobbying activities in connection with this federal contract, the bidder must complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The certification is a prerequisite for contract award imposed by 31 U.S.C. Section 1352. Failure to file the required certification subjects the bidder to civil penalties ranging from $10,000 to $100,000 for each failure. All subrecipients and subcontractors are required to certify and disclose their lobbying activities in the same manner.
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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: ______________
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