CERTIFICATION_OF_RESTRICTIONS_ON_LOBBYING.pdf
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- Attached to
- Uniforms - Operators
- Solicitation number
- 2023-01
- Issued by
- Mclean County, Kentucky
About this file
The document is a Certification of Restrictions on Lobbying form from Lextran, the Transit Authority of Lexington-Fayette Urban County Government in Kentucky. The form is a federal certification that requires the undersigned to affirm they have not used federal appropriated funds to influence or attempt to influence government officials in connection with federal contracts, grants, loans, or cooperative agreements. The certification requires disclosure of any non-federal funds used for lobbying activities and mandates that the certification language be included in all sub-award documents.
The form outlines significant legal and financial penalties for non-compliance, including potential civil penalties ranging from $10,000 to $100,000 for each failure to file the required certification. The document provides space for a company to complete details such as company name, address, contact information, and signature, with the understanding that this certification is a material representation of fact upon which federal transactions are based. The form is tied to section 1352, title 31, U.S. Code, and serves as a prerequisite for entering into federal transactions.
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Text version
CERTIFICATION OF RESTRICTIONS ON LOBBYING
THE UNDERSIGNED HEREBY CERTIFIES ON BEHALF OF ____________________________________ 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 any 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.
(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 subcontracts, sub-grants, 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 is 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.
Executed this ______ day of _____________________, 20_____
Company: _______________________________________________________________________
Address: ________________________________________________________________________
City: _______________________________________ State: ___________ Zip: ____________
Contact Name: __________________________________________________________________
Title: ___________________________________ Telephone: _____________________________
Signature: __________________________________________________ Date: ____________________
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