NEA/G&C-011 rev. 6/13
ATTACHMENT A
CERTIFICATION REGARDING LOBBYING
(Section 319 of Public Law 101-121, 31 U.S.C. Section 1352)
_________________________________(hereafter called the “Grantee”) certifies that:
(1) no Federal appropriated funds have been paid or will be paid, by or on behalf of
the grantee, to any person for influencing or attempting to influence an officer or
employee of any Federal 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 grantee shall complete and submit Standard Form-LLL,
“Disclosure Form to Report Lobbying,” in accordance with its instructions;
(3) the grantee 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 of 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.
___________________________________ __________________________
Authorizing Official Application/Award #
_____________________________________________________________________
Title of Authorizing Official
____________________________________ __________________________
E-mail Address Phone Number
____________________________________ __________________________
Organization Date