Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Inc. 00Galveston Bay Foundation 22-000045-000 005-D102 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxx Xxxxxx Xxxxxxxx CEO President SIGNATURE DATE 9/16/2021 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Subrecipient Grant Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesKalypso Management, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxx Xxxxxx Xxxxxxxx CEO Secretary SIGNATURE DATE 2/26/2021 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Marketing, Advertising, and Media Buying Services Contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesTetra Tech, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxx Xxxxxxxx CEO Senior Vice President SIGNATURE DATE 2/1/2022 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Inc. 00Ernst & Young U.S. LLP 24-062-000-000 E148 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxx Partner SIGNATURE DATE 7/11/2024 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesInformation Strategies, Inc. 00-000("InfoStra2t0"-0)75-000 -B969 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxx X. Xxxxxxxx CEO President SIGNATURE DATE 2/19/2020 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Ongoing Technology Enhancement and Support Services Contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication AECOM Technical Services, Inc. 0020-088-000-000 C015 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxxxxxxx Xxxxxx Xxxxxxxx CEO VP SIGNATURE DATE 11/25/2019 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Contract for Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx E. Xxxx Xxxxxxxx CEO SIGNATURE DATE 12/8/2020 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Covid 19 Reimbursement Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesDBR Engineering Consultants, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxx Xxxxxx Xxxxxxxx CEO Partner SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesXxxxxx and Xxxxxxx, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Vice President SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Environmental Services Contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesMaple Park Senior Village, Inc. 00L.L.C. 20-000063-000 014-B935 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE _Will Xxxxxx Xxxxxxxx CEO SIGNATURE DATE * XX 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- SIGNATURE DATE appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Grant Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Inc. Ernst & Young U.S. LLP 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxxxxxx Authorized Signatory 12/3/2019 SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services Contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesXxxx, Xxxxxx, Elstner Associates, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxxxx Xxxxxxx Unit Manager and Principal SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesSWCA, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxx Xxxxxx Xxxxxxxx CEO Vice President SIGNATURE DATE 8/19/2020 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material changeaward
Appears in 1 contract
Samples: Environmental Services Contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Aptim Environmental + Communication Services& Infrastructure, Inc. LLC 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxx Xxxxxxxxxxx Vice President SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesSan Antonio Bay Partnership, Inc. 0022-000045-000 017-D114 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxx Xxxxxx Xxxxxxxx CEO Chair of Board of Directors 9/27/2021 SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Subrecipient Grant Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesXxxx, Xxxxxxx & Associates, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxx Xxxxx Executive Vice President SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication AECOM Technical Services, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxxxx Vice President, Disaster Recovery SIGNATURE DATE 11/17/2023 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Inc. 00Delta Manor GP LLC 20-000063-000 004-B926 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO SIGNATURE DATE * Xxxxx Vice President 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- SIGNATURE DATE appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Grant Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Inc. 00City of Wolfforth 23-000160-000 051-E805 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxxxx SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Subrecipient Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Metric Engineering Inc. 0021-168-000-000 C906 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxxx Xxxxxx Xxxxxxxx CEO Executive Vice President SIGNATURE DATE 3/1/2021 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Services Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesCARE INNS OF TEXAS, Inc. 00LTD 21-000119-000 002-C764 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Covid 19 Reimbursement Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Inc. Xxxxxxxxxx Engineering Corporation 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxx Xxxxxx Xxxxxxxx CEO Division Manager SIGNATURE DATE 8/10/2020 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services Contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesXxxxx-Xxxxxxx, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxxxx Xxxx Executive Vice President SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication AECOM Technical Services, Inc. 0021-000064-000 002-C858 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxx Xxxxxxxx CEO Vice President, USWest Water SIGNATURE DATE 2/2/2021 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesDR Sienna Villas Investments, Inc. 00LP 20-000063-000 019-B940 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO SIGNATURE DATE * Xxx Xxx Manager 1 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- SIGNATURE DATE appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Grant Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesWood Environment & Infrastructure Solutions, Inc. 0021-145-000-000 C845 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxx Central Gulf Coast Region Manager SIGNATURE DATE 2/5/2021 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Project Management Services Contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesTexas VSI, Inc. 00LLC 21-000119-000 001-C763 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Covid 19 Reimbursement Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication AECOM Technical Services, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxx Xxxxxxxx CEO Vice President, Central Water SIGNATURE DATE 8/9/2020 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Inc. Ernst & Young U.S. LLP 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxxxxxx Authorized Signatory 12/5/2019 SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services Contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication Services, Inc. IMEG Corp 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxx Executive Principal SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesXxxxxx and Xxxxxxx, Inc. 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO X. Xxxxx VP, Division Manager SIGNATURE DATE 8/10/2020 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services Contract
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesCrowderGulf, Inc. 00LLC 21-169-000-000 C907 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxxx-Xxxxx President 3/2/2021 SIGNATURE DATE * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Services Agreement
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesPRDG, Inc. LLC 00-000-000 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxx Xxxxxxxxx Managing Principal SIGNATURE DATE 11/17/2021 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract
Samples: Professional Services
Statement for Loan Guarantees and Loan Insurance. The undersigned states, to the best of his or her knowledge and belief, that: If 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. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Xxxxxxxx Environmental + Communication ServicesGrantWorks, Inc. 0021-000064-000 001-C847 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Xxxxxx Xxxxxxxx CEO Xxxxx Xxxxxxxxxx President SIGNATURE DATE 2/8/2021 * 24 C.F.R. 87 App. A, available at xxxxx://xxx.xxx.xxx/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. Expiration Date: 02/28/2022 1. *Type of Federal Action: a. contract x. xxxxx c. cooperative agreement d. loan x. xxxx e. loan guarantee f. loan insurance 2. *Status of Federal Action: a. bid/offer/application b. initial award c. post-award 3. *Report Type: a. initial filing b. material change
Appears in 1 contract