Form Cd 511 PDF Details

The FORM CD-511, belonging to the U.S. Department of Commerce and revised in January 2005, plays a crucial role in maintaining integrity and transparency in the realm of federal financial transactions, specifically concerning lobbying activities. This form serves as a vital instrument for applicants involved in securing federal contracts, grants, cooperative agreements, loans, or loan guarantees, ensuring adherence to strict ethical standards set forth under 15 CFR Part 28, titled 'New Restrictions on Lobbying.' By requiring a signature, the form obligates applicants to truthfully certify their compliance with regulations that prohibit the use of federal appropriated funds for influencing or attempting to influence officials or employees of any agency, Members of Congress, or any other government officials in connection with the awarding of federal contracts or agreements. Furthermore, it mandates the disclosure of any non-federal funds used for such activities, requiring the submission of Standard Form-LLL, 'Disclosure Form to Report Lobbying,' if applicable. The CD-511 form emphasizes the requirement for this certification to be included in all subaward documents, ensuring that all parties involved in federally supported projects adhere to these standards. Violations of these requirements carry significant penalties, with civil penalties ranging from $10,000 to $110,000 per offence, demonstrating the government's commitment to deter lobbying-related misconduct and ensure the ethical distribution and utilization of federal funds. This certification process, as asserted by the form, is not just a formal administrative step but a critical legal assurance, grounding the federal financial transactions in principles of transparency and accountability.

QuestionAnswer
Form NameForm Cd 511
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform cd 511, 511 compliance form, cd 511 certification regarding lobbying, form 511 department

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FORM CD-511

U.S. DEPARTMENT OF COMMERCE

 

(REV 1-05)

CERTIFICATION REGARDING LOBBYING

 

Applicants should also review the instructions for certification included in the regulations before completing this form. Signature on this form provides for compliance with certification requirements under 15 CFR Part 28, 'New Restrictions on Lobbying.' The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Commerce determines to award the covered transaction, grant, or cooperative agreement.

LOBBYING

As required by Section 1352, Title 31 of the U.S. Code, and implemented at 15 CFR Part 28, for persons entering into a grant, cooperative agreement or contract over $100,000 or a loan or loan guarantee over $150,000 as defined at 15 CFR Part 28, Sections 28.105 and 28.110, the applicant certifies that to the best of his or 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 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 undersigned shall complete and submit Standard Form-LLL, 'Disclosure Form to Report Lobbying.' in accordance with its instructions.

(3)The undersigned 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 or 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 occurring on or before October 23, 1996, and of not less than $11,000 and not more than $110,000 for each such failure occurring after October 23, 1996.

Statement for Loan Guarantees and Loan Insurance

The undersigned states, to the best of his or her knowledge and belief, that:

In any 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 commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, 'Disclosure Form to Report Lobbying,' in accordance with its instructions.

Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure occurring on or before October 23, 1996, and of not less than $11,000 and not more than $110,000 for each such failure occurring after October 23, 1996.

As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above applicable certification.

*NAME OF APPLICANT

*AWARD NUMBER

* PROJECT NAME

Prefix:

 

* First Name:

 

 

 

* Last Name:

Middle Name:

Suffix:

* Title:

* SIGNATURE:

* DATE:

 

 

 

 

 

Completed by Grants.gov upon submission.

 

Completed by Grants.gov upon submission.

 

 

 

 

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