Legal Anti-Lobby Certification Form

LEGAL ANTI-LOBBY CERTIFICATION FORM

This Legal Anti-Lobby Certification (the Certification) is made and entered into on by and between Certifying Party Name: with principal address and Awarding Entity Name: with principal address .

RECITALS

WHEREAS, Awarding Entity has entered into or will enter into a contract, grant, or agreement identified as Contract/Grant Number: (the Agreement) with Certifying Party for the provision of goods or services as further described in the Agreement; and

WHEREAS, Awarding Entity requires, as a condition of entering into and maintaining the Agreement, that Certifying Party make certain certifications regarding lobbying and political activities to ensure compliance with applicable statutes, regulations, and the terms of the Agreement; and

WHEREAS, Certifying Party desires to certify its compliance with anti-lobbying obligations and to disclose any covered lobbying activities, if applicable.

NOW, THEREFORE

In consideration of the mutual covenants contained herein and other good and valuable consideration, the receipt and sufficiency of which are acknowledged, the parties agree as follows:

1. DEFINITIONS

For purposes of this Certification:

a) "Lobbying" means any attempt to influence legislation, executive action, rulemaking, contract awards, grant decisions, or other governmental decisions by means of oral or written communication, expenditure of funds, or any other effort intended to influence public officials or employees in their official capacities.

b) "Covered Funds" means funds provided by Awarding Entity under the Agreement and any program or appropriation under which the Agreement is funded.

2. CERTIFICATION OF NO USE OF COVERED FUNDS FOR LOBBYING

Certifying Party hereby certifies, to the best of its knowledge and belief, that neither Certifying Party nor any of its employees, subcontractors, agents, or consultants have used, or will use, any Covered Funds to pay for lobbying activities in connection with the negotiation, award, administration, renewal, amendment, or performance of the Agreement. This certification includes, without limitation, payment for activities intended to influence the award or modification of contracts, grants, cooperative agreements, or any similar instrument.

3. PROHIBITED ACTIVITIES

Without limiting the foregoing, Certifying Party agrees that Covered Funds shall not be used, directly or indirectly, for:

a) lobbying or attempting to influence members of the legislative branch, executive branch officials, procurement officers, or other governmental decision-makers regarding the award, renewal, amendment, or administration of the Agreement; or

b) retaining a person or organization to influence legislative or executive action related to the Agreement where the payment for such retention is made from Covered Funds.

4. PERMITTED COMMUNICATIONS

This Certification does not prohibit communications that are purely factual, ministerial, or administrative in nature, including submission of required reports, routine contract or grant administration communications, or communications expressly authorized by the Agreement or by applicable law. Certifying Party shall ensure that any permitted communications are not funded with Covered Funds if such communications would otherwise constitute lobbying.

5. DISCLOSURE OF LOBBYING ACTIVITIES

If Certifying Party, any subcontractor, agent, or consultant uses non-Covered Funds to engage in lobbying activities that could influence the Agreement, or if any lobbying related to the Agreement has occurred at any time, Certifying Party must disclose the activity in writing to Awarding Entity. Provide a full description of the lobbying activity and identify the party performing the activity:

6. FALSE CERTIFICATION; REMEDIES

Certifying Party acknowledges that a materially false, incomplete, or intentionally misleading certification or disclosure may constitute a breach of the Agreement and may subject Certifying Party to corrective actions, including but not limited to suspension or termination of the Agreement, repayment of funds, withholding of payments, disqualification from future awards, and any other remedies available at law or equity. Awarding Entity reserves the right to seek all available remedies.

7. RECORDS AND AUDIT

Certifying Party shall maintain records sufficient to demonstrate compliance with this Certification, including invoices, receipts, contracts, communications, and any records documenting lobbying or non-lobbying expenditures. Such records shall be retained for a period of not less than three years after final payment under the Agreement or such longer period as required by law, and shall be made available to Awarding Entity upon request for inspection and audit.

8. ENTITY STATUS AND CONTACT INFORMATION

Individual Corporation Nonprofit Partnership Other:

9. NOTICES

Any notice required or permitted under this Certification shall be in writing and delivered to the primary contact information provided above or to such other address as either party may designate in writing. Notices shall be effective upon personal delivery or three business days after deposit in the U.S. mail, postage prepaid, or upon confirmed delivery by overnight courier.

10. AMENDMENTS; WAIVER; COUNTERPARTS

This Certification may be amended only by a written instrument signed by both parties. No failure or delay by either party in exercising any right or remedy will operate as a waiver of that right or remedy. This Certification may be executed in counterparts, each of which will be deemed an original, and all counterparts together will constitute one and the same instrument.

11. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Certification shall be governed by and construed in accordance with the laws of the jurisdiction governing the Agreement without regard to conflict of laws principles. This Certification constitutes the entire understanding and agreement between the parties with respect to the subject matter hereof and supersedes all prior agreements and understandings relating thereto. If any provision of this Certification is held invalid or unenforceable, the remainder of this Certification will remain in full force and effect.

12. CERTIFICATION BY AUTHORIZED REPRESENTATIVE

The undersigned certifies, under penalty of perjury or other applicable penalties, that the information contained in this Certification is true, correct, and complete to the best of the undersigned's knowledge. The undersigned further certifies that he or she is authorized to execute this Certification on behalf of Certifying Party and to bind Certifying Party to the terms herein.

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