CERTIFICATION_OF_RESTRICTIONS_ON_LOBBYING.pdf
PDF 604 KB Posted
- Attached to
- Landscaping Services
- Solicitation number
- 2026-03
- Issued by
- Fayette County, Kentucky
About this file
This file is a Certification of Restrictions on Lobbying form, a federal compliance document required for entities bidding on or receiving federal funds through state and local contract opportunities. The certification applies to the Town of Berlin, Connecticut's solicitation for an Architectural/Engineering Firm to provide assessment, design documents, project estimates, permitting assistance, and construction administration services for the renovation of DDB Memorial Park. The project encompasses two phases: Phase 1 includes replacement of the pool house, conversion of swimming and wading pools to a community splash pad, and parking expansion; Phase 2 involves conversion of tennis courts to pickleball courts and installation of a new playscape. Both phases address utility, drainage, and accessibility improvements. The Town intends to proceed with design, cost estimating, and permitting for both phases concurrently, with construction anticipated to commence in late summer or early fall of 2026. The proposal submission requirements and selection process are governed by the RFP guidelines provided by the Town of Berlin.
The certification requires that the bidding entity confirm no federal appropriated funds have been or will be paid to influence any officer or employee of a federal agency, Member of Congress, or congressional employee in connection with the contract award. Should non-federal funds be used for lobbying purposes, the entity must complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying. The certification mandate extends to all sub-awards and sub-recipients at all tiers of the contract structure. Failure to file the required certification subjects the responsible party to civil penalties ranging from $10,000 to $100,000 per violation. The form requires completion with the company name, address, contact information, authorized signature, and execution date prior to bid submission.
View the file
Other files
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 .