4.3.2 Certification-regarding-lobbying.pdf
PDF 120 KB Posted
- Attached to
- SR Fire protection services
- Solicitation number
- 70CNR-S3685
- Issued by
- Churchill County, Nevada
About this file
This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration. The form establishes compliance requirements for vendors and contractors engaging with Nevada state procurement processes, particularly those involving federal appropriated funds.
The certification requires the undersigned to attest that no federal appropriated funds have been or will be paid to influence federal agency officials, members of Congress, or congressional staff in connection with federal contracts, grants, loans, or cooperative agreements. Vendors must also disclose any non-federal funds used for lobbying purposes by submitting Standard Form-LLL if applicable. The certification must be included in all subaward documents at every tier, with all subrecipients required to certify and disclose accordingly. Failure to submit the required certification subjects the responsible party to civil penalties ranging from $10,000 to $100,000 for each violation. The form contains designated fields for the date, solicitation number, vendor name, authorized signer name, and authorized signature.
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Other files
| File | Type | Posted |
|---|---|---|
| 4.1.2 Scope of Work.pdf | ||
| S3685 RFP 2026-02-20.pdf | ||
| 4.2.2 Insurance Schedule.pdf | ||
| 4.2.1 Standard-form-contract.docx | DOCX document | |
| 4.1.1 Terms-and-conditions-for-services~5.pdf | ||
| 4.3.1 S3685-cost-schedule.xlsx | XLSX spreadsheet | |
| Quote Instructions.pdf |
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Text version
Nevada State Purchasing Division Department of Administration 515 E Musser St Ste 300 Carson City, NV 89701 purchasing.nv.gov nevadaepro.com
Revised 2024-10 Page 1 of 1
Certification regarding lobbying
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or shall 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, 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 Federally appropriated funds have been paid or shall 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 of Lobbying Activities,” in accordance with its instructions.
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 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 certification is a prerequisite for making or entering into this transaction imposed by section 1352, 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.
Date
Solicitation number
Vendor Name
Authorized signer name
Authorized signature https://purchasing.nv.gov/ https://nevadaepro.com/
| Date: |
| Solicitation number: |
| Vendor name: |
| Authorized signer name: |
File details come from the government source that posted it. Updated .