CERTIFICATION_OF_RESTRICTIONS_ON_LOBBYING.pdf
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- VoIP Phones
- Solicitation number
- 2022-14
- Issued by
- Essex County, Kentucky
About this file
The document is a Certification of Restrictions on Lobbying form from Lextran, a standard federal certification required for entities seeking to enter into federal contracts, grants, or cooperative agreements. 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 the awarding or modification of federal contracts, grants, loans, or cooperative agreements. If any non-federal funds are used for such purposes, the entity must complete and submit a Standard Form-LLL "Disclosure Form to Report Lobbying" and include similar language in all sub-award documents.
The certification is a legal requirement under section 1352, title 31, U.S. Code, with significant financial penalties for non-compliance. Entities failing to file the required certification can be subject to civil penalties ranging from $10,000 to $100,000 for each failure. The form provides space for the company's details, including name, address, contact information, and requires a signature and date. This document serves as a material representation of fact and is a prerequisite for entering into federal transactions, ensuring transparency and preventing improper lobbying activities in government procurement and grant processes.
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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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