40DHHS-S3774 Certification Regarding lobbying.pdf
PDF 120 KB Posted
- Attached to
- Generator Maintenance Solicitation
- Solicitation number
- 40DHHS-S3774
- Issued by
- Clark County, Fish Springs CDP, Nevada
About this file
This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration, for use in connection with the Generator Maintenance Solicitation (40DHHS-S3774) on behalf of the Department of Human Services/Southern Nevada Adult Mental Health Services. The form serves as a mandatory certification that no federal appropriated funds have been or will be paid to influence federal decision-makers in connection with the awarding of federal contracts, grants, loans, or cooperative agreements. Bidders must complete and submit this certification as a prerequisite to contract award, with the understanding that the certification language must be included in all sub-award documents at all tiers.
The certification imposes strict compliance requirements on vendors and their sub-recipients. Any person or entity that fails to file the required certification is subject to civil penalties ranging from $10,000 to $100,000 for each failure. The form requires the vendor to provide the solicitation number, vendor name, authorized signer name, and signature, along with the date of submission. This certification constitutes a material representation of fact and is mandated by Section 1352 of the U.S. Code for all transactions involving federal funds.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 40DHHS-S3774 Terms and Conditions for Services.pdf | ||
| 40DHHS-S3774 Vendor Information Response.pdf | ||
| 40DHHS-S3774 Attachment BB - Insurance Requirements.docx | DOCX document | |
| 40DHHS-S3774 Reference Questionaire.pdf | ||
| Attachment AA Generator Maintenance Services - Scope of Work .docx | DOCX document | |
| 40DHHS-S3774 Standard Form Contract.docx | DOCX document | |
| State Solicitation RFP 40DHHS-S3774.docx | DOCX document | |
| 40DHHS-S3774 Cost Schedule.xlsx | XLSX spreadsheet | |
| Quote Instructions.pdf | ||
| 40DHHS-S3774 Attachment DD - Global Business Associate Addendum.docx | DOCX document |
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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 .