GG_LobbyingForm-V1.1.pdf

PDF 61 KB Posted

Attached to
Engineering Assessment of Current and Future Vehicle Technologies Federal contract opportunity
Solicitation number
693JJ925R000019
Issued by
Department of Transportation National Highway Traffic Safety Administration

About this file

This file appears to be a placeholder PDF document indicating that a newer version of Adobe Reader is required to view the full contents. The file is named "GG_LobbyingForm-V1.1.pdf" and is associated with a Department of Transportation National Highway Traffic Safety Administration (NHTSA) solicitation (#693JJ925R000019) for Engineering Assessment of Current and Future Vehicle Technologies.

While the actual form contents are not visible, it is linked to a contract opportunity focused on providing research and analysis support for technology assessment of countermeasures and testing related to NHTSA Federal Motor Vehicle Safety Standards (FMVSS). The scope involves identifying and analyzing vehicle safety system technologies, assessing their relationship to standards, and recommending potential standard updates to accommodate both current and developing technologies.

View the file

Other files for this federal contract opportunity

Other files attached to Engineering Assessment of Current and Future Vehicle Technologies, newest first.
File Type Posted
Attachment J.1 Cost Proposal Template.xlsx XLSX spreadsheet
Attachment J.4 Past Performance Questionnaire.doc DOC document
SFLLL_2_0-V2.0.pdf PDF
Question and Answer Response.pdf PDF
RFP 693JJ925R000019.pdf PDF
Attachment J.1 Cost Proposal Template.xlsx XLSX spreadsheet

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

To view the full contents of this document, you need a later version of the PDF viewer. You can upgrade to the latest version of Adobe Reader from www.adobe.com/products/acrobat/readstep2.html

For further support, go to www.adobe.com/support/products/acrreader.html

Grants.gov Lobbying Form D:20061122134148- 05'00' D:20061122134148- 05'00' Certification for Contracts, Grants, Loans, and Cooperative Agreements

(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 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.

If any 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 commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ''Disclosure of Lobbying Activities,'' in accordance with its instructions. Submission of this statement 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 statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

* APPLICANT'S ORGANIZATION

* SIGNATURE:

* DATE:

* PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE

Suffix:

Middle Name:

* Title:

* First Name:

* Last Name:

Prefix:

CERTIFICATION REGARDING LOBBYING

(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.

The undersigned certifies, to the best of his or her knowledge and belief, that:

Statement for Loan Guarantees and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that:

Mandatory:
Applicant's Organization: Enter the legal name of the organization that will undertake the assistance activity. This should normally be the name under which the organization has registered with the Business Partner Network.:
Prefix: Select the prefix (e.g., Mr., Mrs., Rev.) for the name of the Authorized Representative.:
Suffix: Select the suffix (e.g., Jr, Sr, PhD) for the name of the Authorized Representative.:
First Name: Enter the first (given) name of the Authorized Representative who is signing this form.:
Middle Name: Enter the middle name of the Authorized Representative.:
Title: Enter the title of the Authorized Representative who is signing this form.:
Last Name: Enter the last (family) name of the Authorized Representative signing this form.:
Signature: It is the organization's responsibility to assure that only properly authorized individuals sign in this capacity and/or submit the application to Grants.gov. Enter the Signature of Authorized Representative.:
Date Signed: Enter the date the AOR signed the application.:
XDPFirstField:
LastField:

File details come from the government source that posted it. Updated .