LobbyCertificationForm.pdf
PDF 8 KB Posted
- Attached to
- 23 SC PR 4-7 Herbicide Border Treatment
- Solicitation number
- 6100042440
- Issued by
- Northumberland County, Harveys Lake Borough, Pennsylvania
About this file
This document is a Lobbying Certification Form required for federal contracts, grants, loans, and cooperative agreements. The form certifies that no federal appropriated funds have been or will be paid to influence or attempt to influence government officials in connection with the award, and that the language of this certification will be included in all subawards. Failure to file the required certification can result in civil penalties. The form must be signed and dated by an authorized official.
The document outlines the requirements for certifying compliance with federal lobbying disclosure laws. It does not provide any information about a specific state or local contract opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| Mechanical Herbicide Spraying.docx | DOCX document | |
| Contracts Federal Boilerplate Language Exhibit A 07_24_2015.docx | DOCX document |
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Text version
Enclosure 1 to Management Directive 305.16 Amended Page 1 of 1
LOBBYING CERTIFICATION FORM
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 any 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 modi-fication 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 of Lobbying Activities, in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award docu-ments 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 under 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 such failure.
SIGNATURE: _____________________________________________________________________________
TITLE: ____________________________________________________________________________________
DATE: ____________________________________________________________________________________
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