Federal_Required_Certification.pdf
PDF 296 KB Posted
- Attached to
- Purchase of Antibiotics
- Solicitation number
- 2026-Informal-0210
- Issued by
- Los Angeles County, California
About this file
This file is a Federal Required Certification document applicable to the City of Pasadena Public Health Department's purchase of antibiotics (Doxycycline and Ciprofloxacin) in California. The certification, based on 44 C.F.R. Part 18 (Appendix A), requires contractors to affirm that no federal appropriated funds have been or will be paid to influence federal or congressional officials in connection with this contract award. The one-time purchase is intended to create an antibiotic stockpile for rapid deployment to city staff and their dependents following potential exposure to Category A biological agents such as anthrax, plague, or tularemia. The purchase must be completed within the city's fiscal year ending June 30, 2027, and the solicitation is open to all qualified vendors capable of delivering competitive pricing alongside quality and timely delivery.
All contractors submitting bids must execute and submit this certification as a material prerequisite to contract award. If any non-federal funds have been or will be paid for lobbying activities, contractors must complete and submit Standard Form-LLL. Contractors are further required to include identical certification language in all subaward documents at all tiers and require all subrecipients to certify and disclose accordingly. Failure to file the required certification subjects contractors to civil penalties ranging from $10,000 to $100,000 for each violation, and false statements or certifications are subject to the provisions of 31 U.S.C. Chapter 38 regarding administrative remedies for false claims.
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Other files
| File | Type | Posted |
|---|---|---|
| Purchase_of_Antibiotics.pdf | ||
| Emergency_FEMA_TC.pdf | ||
| REQUIRED_FORMS_-_AAs_-_SIG-LEGAL-STATUS_02112026.pdf | ||
| Unique_Entity_ID_(SAM).pdf | ||
| Disclosure_of_Lobbying_Activities.pdf | ||
| RELEVANT_EXPERIENCE_FORM.pdf | ||
| DoIT_Technical_Questionnaire.xlsx | XLSX spreadsheet |
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Text version
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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