Exhibit G Certification Regarding Lobbying.doc
DOC document 35 KB Posted
- Attached to
- Virginia Wildlife Magazine Fulfillment Services
- Solicitation number
- 82834
- Issued by
- Grayson County, Virginia
About this file
This document is a Certification Regarding Lobbying form (Exhibit G) related to a Federal Contract opportunity for Goochland County's Emergency Communication Center project. The certification requires signatories to declare that no Federal appropriated funds have been used to influence any federal employees, Members of Congress, or their staff in connection with the awarding of federal contracts, grants, loans, or cooperative agreements.
The form includes provisions for disclosing any non-federal funds used for lobbying activities through Standard Form-LLL and requires this certification language to be included in all sub-awards. The document specifies civil penalties between $10,000 and $100,000 for failure to file the required certification. The form requires signature, printed name, organization name, and date from the certifying party.
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Text version
DRAFT FORM AGREEMENT
Contract No. _____________
Notice: All highlighted should be reviewed before using this form.
ExHIBIT G: CERTIFICATION REGARDING LOBBYING
The undersigned certifies, to the best of his or her knowledge and belief, that:
i). No Federal appropriated funds have been paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee or an 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.
ii). 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.
iii). 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 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, 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.
Signature:
Printed Name:
Organization:
Date:
File details come from the government source that posted it. Updated .