Orange County NC Website
Browse       Search
21 <br />Revised 12/2021 <br />APPENDIX A, 44 C.F.R. PART 18 – CERTIFICATION <br />REGARDING LOBBYING <br />Certification for Contracts, Grants, Loans, and Cooperative Agreements <br />The undersigned certifies, to the best of his or her knowledge and belief, that: <br />1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the <br />undersigned, to any person for influencing or attempting to influence an officer or employee of <br />an agency, a Member of Congress, an officer or employee of Congress, or an employee of a <br />Member of Congress in connection with the awarding of any Federal contract, the making of <br />any Federal grant, the making of any Federal loan, the entering into of any cooperative <br />agreement, and the extension, continuation, renewal, amendment, or modification of any <br />Federal contract, grant, loan, or cooperative agreement. <br /> <br />2. If any funds other than Federal appropriated funds have been paid or will be paid to any <br />person for influencing or attempting to influence an officer or employee of any agency, a <br />Member of Congress, an officer or employee of Congress, or an employee of a Member <br />of Congress in connection with this Federal contract, grant, loan, or cooperative <br />agreement, the undersigned shall complete and submit Standard Form- LLL, <br />“Disclosure Form to Report Lobbying,” in accordance with its instructions. <br /> <br />3. The undersigned shall require that the language of this certification be included in the award <br />documents for all subawards at all tiers (including subcontracts, subgrants, and contracts <br />under grants, loans, and cooperative agreements) and that all subrecipients shall certify and <br />disclose accordingly. <br /> <br />This certification is a material representation of fact upon which reliance was placed when this <br />transaction was made or entered into. Submission of this certification is a prerequisite for making or <br />entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails <br />to file the required certification shall be subject to a civil penalty of not less than $10,000 and not <br />more than $100,000 for each such failure. <br /> <br />The Provider, BEAU CATERING, certifies or affirms the truthfulness and accuracy of each <br />statement of its certification and disclosure, if any. In addition, the Provider understands and <br />agrees that the provisions of 31 U.S.C. Chap. 38, Administrative Remedies for False Claims <br />and Statements, apply to this certification and disclosure, if any. <br /> <br /> <br />_________________________________________ <br />Signature of Provider’s Authorized Official <br /> <br /> Printed Name and Title of Provider’s Authorized Official <br /> <br /> <br /> Date <br /> <br /> <br /> <br />DocuSign Envelope ID: 57A30C0A-DD50-4583-81C1-646133B24426 <br />Beau CateringOwner <br />5/23/2024 <br />Lauren Erickson