Lobbying Certification Form (BOP 1307).doc
DOC document 109 KB Posted
- Attached to
- Replacement Plexiglass for Play Stations
- Solicitation number
- 6100066383
- Issued by
- Dauphin County, Pennsylvania
About this file
This is a Lobbying Certification Form (BOP 1307) related to a Pennsylvania state contract opportunity for Replacement Plexiglass for Play Stations issued by the Pennsylvania Lottery. The contract requires the supplier to provide 15 1/2" wide by 6" high plexiglass replacements with rounded edges and two drilled holes near the top of each edge. The supplier must deliver approved items within 40 business days of proof approval, with the Lottery providing proof approval within 2 business days of receipt. Per Commonwealth Purchasing Guidelines, the awarded supplier shall provide proof to the agency within 7 working days of receipt of necessary materials or issuance of the Purchase Order, whichever is later. The packaging must comply with the Supplier Shipping & Receiving Guidelines, with individual packages not exceeding 50 pounds and all boxed materials labeled with quantity and description. No physical proof is requested for this particular opportunity.
The form certifies that no federal appropriated funds will be used to influence any officer or employee of a federal agency, member of Congress, or congressional staff in connection with this contract award. The undersigned must disclose any non-federal funds used for lobbying activities by completing Standard Form-LLL. All sub-awards and sub-recipients at every tier must include identical certification language and comply with disclosure requirements. Failure to submit the required certification subjects the responsible party to civil penalties ranging from $10,000 to $100,000. This certification is a material representation of fact required under Section 1352, Title 31, U.S. Code and is a prerequisite for contract execution.
View the file
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| std_9s - 16 in Playstation Plexiglass Replacement.docx | DOCX document | |
| Terms and Conditions for bid 6100066383.pdf | ||
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Text version
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 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 of Lobbying Activities, which can be found at:
http://www.whitehouse.gov/sites/default/files/omb/assets/omb/grants/sflllin.pdf
(3) The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients 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: ________________
BOP-1307
Revised 11/7/2013
File details come from the government source that posted it. Updated .