Federal_Required_Certification_(4).pdf

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Attached to
Formlabs Form 4L Complete Package 3D Printer System
Solicitation number
2026-IFB-MS-0503
Issued by
Los Angeles County, Berkeley City, California

About this file

This is a Federal Required Certification document related to a Formlabs Form 4L Complete Package 3D Printer System procurement by the City of Pasadena Water and Power Department in California. The certification pertains to lobbying compliance requirements under 44 C.F.R. Part 18 and Appendix A. The City of Pasadena is seeking bids for the purchase and delivery of one Formlabs Form 4L Complete Package 3D Printer System, 120V, including all equipment, accessories, software, manufacturer service plan, and manufacturer-provided training. The solicitation aims to acquire a complete, new, current-production system suitable for immediate use following City installation and activation. No specific response dates, due dates, site visit information, bidder's meetings, award dates, or contract terms are detailed in this certification document.

The certification document requires contractors to certify that no federal appropriated funds have been or will be paid to influence federal officials in connection with this transaction. Contractors must disclose any non-federal funds used for lobbying purposes using Standard Form-LLL. All subrecipients and subawards at all tiers must include equivalent certification language in their award documents. Failure to submit the required certification subjects violators to civil penalties ranging from $10,000 to $100,000 per failure. The document does not contain information regarding pricing terms, set-asides, incumbent contractors, funding sources, or contract amounts.

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Federal Required Certification

If applicable, contractors must sign and submit to the non-federal entity the following certification. APPENDIX A, 44 C.F.R. PART 18 – CERTIFICATION REGARDING LOBBYING 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 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.

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 Form to Report Lobbying,” 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 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.

The Contractor, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C.Chap. 38, Administrative Remedies for False Claims and Statements, apply to this certification and disclosure, if any.

Signature of Contractor’s Authorized Official Name

Title of Contractor’s Authorized Official

Date

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