Certification Regarding Lobbying Form.pdf
PDF 12 KB Posted
- Attached to
- County Wide Cabinets
- Solicitation number
- RFP 22-05-WP
- Issued by
- Santa Rosa County, New Port Richey City, Florida
About this file
This document is a Certification Regarding Lobbying form for a federal contract or grant, which requires the undersigned organization to certify that no federal appropriated funds have been or will be paid to influence federal officials or members of Congress in connection with awarding a federal grant, loan, or cooperative agreement. The form mandates disclosure of any non-federal funds used for lobbying purposes by completing Standard Form-LLL and requires that this certification language be included in all sub-awards and lower-tier contracts.
The form outlines significant legal and financial consequences for non-compliance, specifically that any person who fails to file the required certification can be subject to civil penalties ranging from $10,000 to $100,000 for each failure. The certification is considered a material representation of fact and is a prerequisite for entering into the transaction, as imposed by section 1352 of title 31 of the United States Code. The form is designed to be completed by an authorized representative of an organization, with spaces provided for the organization's name, address, the certifying individual's name and title, and signature and date of certification.
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 REGARDING LOBBYING
The undersigned certifies, to the best of his or her knowledge and belief, 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 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 of Lobbying Activities," in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents of 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 was 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, United States 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.
Organization:
Street address:
City, State, Zip:
CERTIFIED BY:
(type or print)
TITLE:
(signature) (date)
File details come from the government source that posted it. Updated .