Exhibit F - Lobbying Certification Form.pdf
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- Attached to
- Traffic Engineering Data Count Services
- Solicitation number
- ITQ 3514T02
- Issued by
- Crawford County, Pennsylvania
About this file
This document is a Lobbying Certification Form that must be completed as part of a federal contract, grant, loan, or cooperative agreement. The form certifies that the undersigned has not and will not use federal appropriated funds to influence any federal officials or members of Congress regarding this contract or agreement. If any other funds have been or will be used for lobbying, the undersigned must disclose such activities on the Standard Form-LLL. The certification and disclosure requirements extend to all subrecipients and subcontractors at any tier. Submission of this certification is a prerequisite for entering into the contract or agreement, and any failure to file the required certification could result in civil penalties.
The document outlines the statutory requirements and legal implications related to lobbying activities for the federal contract or agreement in question. It does not provide details about the specific products, services, project scope, timeline, or other salient information regarding the contracting opportunity.
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Text version
EXHIBIT F
LOBBYING CERTIFICATION FORM
Lobbying Certification Form
Certification for Contracts, Grants, Loans, and Cooperative
Agreements 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 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 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 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 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 under 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 such failure.
SIGNATURE:
TITLE:
DATE:
EXHIBIT F
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