Exhibit G - Lobbying-Certification-2019-06-12 (4) (1).doc
DOC document 52 KB Posted
- Attached to
- Bank Reconciliation Services
- Solicitation number
- RFP-124435
- Issued by
- Richmond City, Roanoke City, Virginia
About this file
This is an Exhibit G Certification Regarding Lobbying form from the Virginia Department of the Treasury, required for a Bank Reconciliation Services contract opportunity. The certification document establishes compliance requirements for federal appropriated funds and lobbying activities in connection with federal contracts, grants, loans, and cooperative agreements. The form requires the undersigned to certify that no federal appropriated funds have been or will be paid to influence federal officers, congressional members, or agency employees regarding contract awards, grant making, loan issuance, or cooperative agreement modifications. Additionally, if any non-federal funds are used for lobbying purposes in connection with the contract, the submitting party must complete and submit the standard Form-LLL Disclosure Form to Report Lobbying in accordance with its instructions.
The certification must be included in all award documents and sub-award agreements at all tiers, including subcontracts and sub-grants, with all sub-recipients required to certify and disclose accordingly. This certification constitutes a material representation of fact upon which reliance was placed when the transaction was made or entered into, with submission serving as a prerequisite for contract execution under Section 1352 of title 31, U.S. Code. The form includes signature, printed name, organization, and date fields for the certifying party. Failure to file the required certification subjects any person to civil penalties ranging from a minimum of $10,000 to a maximum of $100,000 for each failure.
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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 .