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CITY OF EVERETT PUBLIC WORKS <br /> SPECIAL PROVISIONS <br /> CERTIFICATIONS AND REPRESENTATIONS <br /> (CONTRACT FUNDS) <br /> BYRD ANTI-LOBBYING AMENDMENT COMPLIANCE AND CERTIFICATION , <br /> for all orders above the limit prescribed in FAR Section 52iO3-12g ,or its successor regulation <br /> (currently$150,000),the Offeror must complete and sign the following; <br /> The following certification and disclosure regarding payments to influence certain federal transactions are <br /> made per the provisions contained in FAR 52,203-11 and 52,203-12 and 31 U.S.C, 1352,the"Byrd Anti- <br /> Lobbying Amendment." ' <br /> (a)FAR 52.203-12,"Limitation on Payments to Influence Certain Federal Transactions"is hereby <br /> incorporated by reference into this certification <br /> (b)The offeror, by signing its offer,hereby certifies to the best of his or her knowledge and belief <br /> that: <br /> (1)No Federal appropriated funds have been paid or will be paid to any person for influencing or <br /> attempting to influence an officer or employee of any agency, a Member of Congress, an officer <br /> or employee of Congress, or an employee of a Member of Congress on his or her behalf in <br /> connection with the awarding of any Federal contract, the making of any Federal grant, the <br /> making of any Federal loan,the entering into of any cooperative agreement,and the extension, <br /> continuation, renewal, amendment or modification of any Federal contract, grant, loan, or <br /> cooperative agreement; <br /> (2)If any funds other than Federal appropriated funds(including profit or fee received under a <br /> covered Federal transaction)have been paid,or will be paid, to any person for influencing or <br /> attempting to influence an officer or employee of any agency, a Member of Congress, an officer <br /> or employee of Congress, or an employee of a Member of Congress on his or her behalf in. <br /> connection with this solicitation,the offeror shall complete and submit, with its offer, OMB <br /> standard form LLL Disclosure of Lobbying Activities,to the Contracting Officer;and <br /> (3)He or she will include the language of this certification in all subcontract awards at any tier and <br /> require that all recipients of subcontract awards in excess of$150,000 shall certify and disclose <br /> accordingly. <br /> (c)This certification is a material representation of fact upon which reliance is placed when this <br /> transaction was made or entered into.Submission of this certification and disclosure is a <br /> prerequisite for making or entering into this contract imposed by section 1352, title 31, United <br /> States Code. Any person making an expenditure prohibited under this provision or who fails to file <br /> or amend the disclosure form to be filed or amended by this provision,shall be subject to a civil <br /> penalty of not less than$10,000,and not more than$100,000,for each such failure. <br /> 1 <br /> SIGNATURE: C ��,1p��: the h 4s i C i ¢ <br /> COMPANY NAME.: Stel r J Corporation <br /> DATE: 7/11/2017 <br /> Portal 1 Replacement ,bine 22117 <br /> vO I t P36t)2 00 45 63 2 <br />