HomeMy WebLinkAboutOTHER-2024-021-Certification and restrictions on lobbying /
Attachment 2 L ` ) AD J cO L ,
( Required of all Applicants )
CERTIFICATION AND RESTRICTIONS ON LOBBYING j
I , Jamezetta Bedford , Chair, Orange County Board of County Commissioners , on behalf of
Name of Authorized Official
Orange County ,
Legal Name of Applicant
Hereby certifies that :
No Federal/State 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 Federal/State agency, a Member of Congress or k
State Legislature , an employee of a member of Congress or State Legislature , or an officer or employee of Congress or
State Legislature in connection with the awarding of any Federal/State contract, the making of any Federal/State grant, f
the making of any Federal/State loan , the entering into of any cooperative agreement, and the extension , continuation , ['!
renewal , amendment, or modification of any Federal/State contract, grant, loan , or cooperative agreement .
If any funds other than Federal/State appropriated funds have been paid or will be paid to any person influencing or
attempting to influence an officer or employee of any Federal/State agency, a Member of Congress or State Legislature,
an employee of a member of Congress or State Legislature , or an officer or employee of Congress or State Legislature in
connection with the Federal/State contract, grant, loan , or cooperative agreement, the undersigned shall complete and r
submit Standard Form — LLL, " Disclosure Form to Report Lobbying, " in accordance with its instructions .
The undersigned shall require that the language of this certification be included in the award documents for all sub -
awards at all tiers ( including sub - contracts, 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 (as amended by the Lobbying Disclosure Act of 1995) . 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 .
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The undersigned certifies or affirms the truthfulness and accuracy of the contents of the statements submitted on or with
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this certification and understands that the provisions of 31 U. S. C. Section 3801, et seq . , are applicable thereto .
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