RFP 2024-08 Exhibit G_Certification Regarding Lobbying.pdf
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- Attached to
- RFP 2024-08 Information Technology Research Subscription Services State and local contract opportunity
- Solicitation number
- 86987
- Issued by
- Southampton County, Virginia
About this file
This is a Certification Regarding Lobbying (Exhibit G) form required for a contract opportunity with Southampton County, Virginia related to Information Technology Research Subscription Services and HVAC system installations at Natural Tunnel State Park. The certification document requires signatories to confirm that no federal appropriated funds have been used to influence government officials, employees, or Members of Congress in connection with federal contracts, grants, loans, or cooperative agreements.
The document specifies that if non-federal funds are used for lobbying activities, the organization must complete and submit Standard Form-LLL "Disclosure Form to Report Lobbying." The certification includes penalties for non-compliance, with civil penalties ranging from $10,000 to $100,000 for each violation under 31 U.S.C. § 1352. The form requires signature, printed name, organization name, and date from an authorized representative, and mandates that this certification language be included in all sub-award documents at all tiers.
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Text version
EXHIBIT G
CERTIFICATION REGARDING LOBBYING
The undersigned certifies, to the best of his or her knowledge and belief, that:
i). No Federal appropriated funds have been paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee or 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.
ii). 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.
iii). 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 by 31 U.S.C. § 1352. 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.
Signature: ___________________________________
Printed Name: ___________________________________
Organization: ___________________________________
Date: ___________________________________
File details come from the government source that posted it. Updated .