Lobbying_Certification.docx
DOCX document 23 KB Posted
- Attached to
- New World Screwworm Grand Challenge
- Opportunity number
- USDA-APHIS-10025-OA000000-26-0001
About this file
This is a Lobbying Certification form required for federal contracts, grants, loans, and cooperative agreements. The certification requires authorized officials to attest that no federal appropriated funds have been or will be used to influence federal officials, members of Congress, or congressional staff in connection with the award or modification of federal funding instruments. If non-federal funds are used for lobbying purposes, applicants must complete and submit Standard Form-LLL (Disclosure Form to Report Lobbying). The certification must be included in all subaward documents at every tier, including subcontracts and subgrants, with all subrecipients required to certify and disclose accordingly. Submission of this certification is mandatory under section 1352, title 31, U.S. Code, and failure to file incurs civil penalties ranging from $10,000 to $100,000 for each violation. A separate certification section addresses loan guarantees and loan insurance with identical lobbying disclosure requirements. The form requires the organization name, authorized official name, signature, date, and telephone number for completion.
Lobbying Certification
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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 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.
Organization Name
Name of Authorized Official
Signature Date
LOBBYING
CERTIFICATION
LOBYCERT.DOC
Telephone
Version
3, 8/11)
Certification for Loan Guarantees and Loan Insurance
The undersigned certifies, to the best of his or her knowledge and belief, that:
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 commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.
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.
Organization Name
Name of Authorized Official
Signature Date
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