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
This is a Certification of Restrictions on Lobbying form applicable to federal contract awards involving the City of Newark, New Jersey and the Commonwealth of Kentucky. The document establishes compliance requirements for bidders on federal contracts, grants, loans, and cooperative agreements, requiring certification that no federal appropriated funds will be used to influence federal officers, members of Congress, or congressional employees in connection with contract awards. The form must be executed by authorized company representatives and submitted as a prerequisite to award, with the certification required to be included in all sub-award documents and tier agreements.
The certification imposes material compliance obligations on contractors and sub-recipients, with civil penalties ranging from $10,000 to $100,000 for failure to file required disclosures. If non-federal funds are used for lobbying activities, bidders must submit Standard Form-LLL to report such lobbying expenditures in accordance with Section 1352 of Title 31, U.S. Code. All sub-recipients at any tier, including subcontractors and sub-grantees, must execute identical certifications and make corresponding disclosures. The form requires execution with specific dates, company information, contact details, and authorized signatures, serving as a binding representation of fact upon which the government relies when entering into the transaction.
View the file
Other files
Show all 12
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 .