Fillable FAR 52.203 11 Disclosure Regarding Lobbying SEPT 2007 Fillable Form (University of Dayton)

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FAR 52.203 11 Disclosure Regarding Lobbying SEPT 2007 Fillable Form (University of Dayton)

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Rev 2 Updated 21 June 2
017
FAR 52.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO
INFLUENCE CERTAIN FEDERAL TRANSACTIONS (SEP 2007)
By signing below, the Offeror certifies compliance with FAR 52.203-11, “Certification and
Disclosure Regarding Payments to Influence Certain Federal Transactions,” which is
incorporated herein by reference.
If required Offeror shall file a Disclosure Form as imposed by Section 1352, Title 31 United
States Code.
The Offeror will incorporate the language of this certification into all subcontract awards at
any tier and require that all recipients of subcontract awards in excess of $150,000 certify and
disclose accordingly.
Firm’s Name:
Firm’s Address:
Street City ST ZIP
Signature: Date:
Typed Name/Title:
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FAR 52.203 11 Disclosure Regarding Lobbying SEPT 2007 Fillable Form (University of Dayton)

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Completed 20 July 2020

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