40DHHS-S3926-Certification-regarding-lobbying.pdf
PDF 120 KB Posted
- Attached to
- Asset Verification Services
- Solicitation number
- 40DHHS-S3926
- Issued by
- Nevada
About this file
This is a Certification Regarding Lobbying form from the Nevada State Purchasing Division, Department of Administration, applicable to the Asset Verification Services solicitation issued by the Department of Human Services, Division of Social Services. The form serves as a mandatory certification document for vendors submitting proposals in response to this state contract opportunity. No specific project overview, quantities, response dates, due dates, site visits, bidder meetings, award dates, or contract terms are detailed within this certification form, as it functions solely as a compliance attestation document required from participating vendors.
The certification addresses federal appropriations and lobbying restrictions, requiring vendors to confirm that no federal funds have been or will be paid to influence federal agency officials or members of Congress in connection with the awarding of federal contracts or grants. Vendors must also disclose any non-federal funds used for lobbying purposes by submitting Standard Form-LLL if applicable. All sub-recipients and sub-awardees at any tier must be required to include identical certification language in their award documents and certify accordingly. Failure to submit the required certification subjects vendors to civil penalties ranging from $10,000 to $100,000 for each failure, as imposed under section 1352, U.S. Code.
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Other files
| File | Type | Posted |
|---|---|---|
| 40DHHS-S3926_reference_questionnaire.docx | DOCX document | |
| 40DHHS-S3926_RFP_AVS.docx | DOCX document | |
| NIST.SP.800-171r2.pdf | ||
| Quote Instructions.pdf | ||
| 40DHHS-S3926-Insurance Schedule.pdf | ||
| Terms-and-conditions-for-services~30.pdf | ||
| NIST.SP.800-53r5.pdf | ||
| 40DHHS-S3926-Deliverables - 2026 AVS RFP Attachment .docx | DOCX document | |
| 40DHHS-S3926-Vendor-Information-Response.pdf | ||
| 40DHHS-S3926-Data Use and Cloud Service Agreement 2026 AVS RFP Attachment.docx | DOCX document | |
| Standard-form-contract~24.docx | DOCX document | |
| 40DHHS-S3926-Cloud Checklist - 2026 AVS RFP Attachment.xlsx | XLSX spreadsheet | |
| 40DHHS-S3926-Scope of Work_AVS.docx | DOCX document | |
| 40DHHS-S3926-AVS_Cost Schedule.xls | XLS spreadsheet | |
| ATTACHMENT - Federal Laws and Authorities.docx | DOCX document | |
| NIST.SP.800-210.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: |
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