OCSD_-_Certification_Regarding_Anti-Lobbying_(25).pdf

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Attached to
Purchase and Delivery of Milk and Dairy Products
Solicitation number
060-3172003-MB
Issued by
Orange County, San Francisco City, California

About this file

This file is a Certification Regarding Anti-Lobbying form applicable to the County of Orange, Sheriff-Coroner's solicitation for Purchase and Delivery of Milk and Dairy Products in California. The certification document serves as a prerequisite requirement for contractors bidding on this state and local contract opportunity. Contractors must certify that no Federal appropriated funds have been paid or will be paid to influence Federal officials, Members of Congress, or Congressional employees in connection with the awarding of the contract. The document establishes that this certification requirement applies to all tiers of subawards, including subcontracts and subgrants, and that all subrecipients must certify and disclose accordingly.

The certification carries significant legal consequences and compliance obligations. Contractors must submit Standard Form-LLL, "Disclosure Form to Report Lobbying," if any non-Federal funds have been or will be paid for lobbying purposes in connection with this contract. The certification constitutes a material representation of fact, and submission is a prerequisite imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification is subject to a civil penalty ranging from $10,000 to $100,000 for each failure. The Contractor's authorized official must sign the certification, affirming the truthfulness and accuracy of all statements, and acknowledging that the provisions of 31 U.S.C. Chapter 38 regarding Administrative Remedies for False Claims and Statements apply to the certification and any required disclosure.

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ATTACHMENT #

CERTIFICATION REGARDING ANTI-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.

Company Name

Signature of Contractor’s Authorized Official

Name and Title of Contractor’s Authorized Official

Date

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