Exhibit_D-_Certification_on_Lobbying-signed.pdf

PDF 272 KB Posted

Attached to
Competitive Selection OH|DOT59026-1
Contract number
DOT59026-1
Issued by
Ohio

About this file

This document is an Exhibit D Certification of Restrictions on Lobbying for Invitation No. 590-26, completed by Vital Assurance, Ltd, with Ryan McKinley (President) as the authorized signatory. The certification is a standard federal requirement that ensures transparency in government contracting by prohibiting the use of federal funds for lobbying activities.

The document does not provide specific details about the goods, services, pricing, or contract terms. Instead, it is a procedural certification that affirms the company has not and will not use federal appropriated funds to influence government officials in connection with federal contracts, grants, loans, or cooperative agreements. The certification requires disclosure of any non-federal funds used for potential lobbying efforts and mandates that this language be included in all sub-awards and lower-tier contracts.

View the file

Other files

File Type Posted
Signature.pdf PDF
590-26.pdf PDF
Affirmation_and_Disclosure-signed__2_.pdf PDF
Exhibit_A-_Affirmative_Action-signed.pdf PDF
Exhibit_B-_Non-Collusion-signed.pdf PDF
590pricing-Vital_Assurance_VA-0710.xlsx XLSX spreadsheet
Exhibit_C-_Debarment_and_Suspension-signed.pdf PDF
590-26_VA_Technical_Proposal_VA-0710.pdf PDF
Score_Sheet.xlsx XLSX spreadsheet

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

Invitation No. 590-26

EXHIBIT D

CERTIFICATION OF RESTRICTIONS ON LOBBYING

I, hereby certify

(Name and title of official)

On behalf of that:

(Name of Bidder/Company Name)

• 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, and 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.

• If any funds other than federal appropriated funds have been paid or will be paid to any person influencing or attempting to influence an officer or employee of any agency, a Member of Congress, and officer or employee of Congress, or an employee of a

Member of Congress in connection with the 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.

• The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants and contracts under grants, loans, and cooperative agreements) and that all subrecipients 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 31 U.S.C. § 1352. 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., Name of Bidder/Company Name:

Type or print name:

Signature of authorized representative: Date / /

I

Ryan McKinley, President

Vital Assurance, Ltd

Vital Assurance ltd

Ryan McKinley

5 19 2025

File details come from the government source that posted it. Updated .