[Iowa DOT] 020096. Certification of Restrictions on Lobbying

CERTIFICATION OF
RESTRICTIONS ON LOBBYING

(for contracts or subcontracts with $100,000 or more value)

The undersigned (contractor) certifies, to the best of his/her knowledge and belief, that:

(1) No federal 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 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, making of any federal loan, entering into any cooperative agreement, and 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 making lobbying contacts to 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 instruction as amended by government wide guidance for new restrictions on lobbying 61 CFR 1413 (Jan. 19, 1996).

(3) 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 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 certificate 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.

certifies or affirms the truthfulness and accuracy of

each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. 3801 et seq. apply to this certification and disclosure, if any.

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