CERTIFICATION_OF_RESTRICTIONS_ON_LOBBYING.pdf
PDF 604 KB Posted
- Attached to
- Environmental Services
- Solicitation number
- 2022-13
- Issued by
- Essex County, Kentucky
About this file
The document is a Certification of Restrictions on Lobbying form from Lextran, designed to comply with federal lobbying regulations. The form requires the undersigned 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 federal contracts, grants, loans, or cooperative agreements. The certification mandates disclosure of any non-federal funds used for lobbying purposes and requires that this language be included in all sub-awards and lower-tier contracts.
The form imposes significant compliance requirements, with potential civil penalties of $10,000 to $100,000 for each failure to file the required certification. It serves as a material representation of fact for government transactions and is a prerequisite for entering into federal contracts. The document provides space for company details, including company name, address, contact information, and signature, allowing the authorized representative to formally attest to the lobbying restrictions and commit to ongoing compliance with federal lobbying regulations.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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: ____________________
| Text46: |
| Text47: |
| Text48: |
| Text49: |
| Text50: |
| Text51: |
| Text52: |
| Text53: |
| Text54: |
| Text55: |
| Text56: |
| Text57: |
| Signature58_es_:signer:signature: |
| Date59_es_:signer:date: |
File details come from the government source that posted it. Updated .