44DOC-S3755 Certification-regarding-lobbying.pdf
PDF 120 KB Posted
- Attached to
- Boiler Preventative Maintenance and Service
- Solicitation number
- 44DOC-S3755
- Issued by
- Nevada
About this file
This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration, applicable to the Nevada Department of Corrections' Boiler Preventative Maintenance and Service contract opportunity. The certification form serves as a mandatory disclosure document for vendors bidding on this state contract, which involves providing preventative maintenance and service for boilers at multiple Department of Corrections facilities throughout Nevada. The form must be completed and submitted by authorized representatives of bidding vendors as a prerequisite for contract award consideration.
The certification requires vendors to attest that no federally appropriated funds will be used to influence government officials in connection with the contract award process. Vendors must also commit to disclosing any non-federal funds used for lobbying activities via Standard Form-LLL if applicable, and to include identical certification language in all subcontracts and subawards. Failure to submit the required certification subjects vendors to civil penalties ranging from $10,000 to $100,000 per violation. The form requires completion of fields including the solicitation number, vendor name, authorized signer name, signature, and date of submission.
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Other files
| File | Type | Posted |
|---|---|---|
| 44DOC-S3755 COST SCHEDULE~3.docx | DOCX document | |
| 44DOC-S3755 RFP~7.docx | DOCX document | |
| 44DOC-S3755 Mandatory Site visit schedule.docx | DOCX document | |
| 44DOC-S3755 Facility Contact Information~1.xlsx | XLSX spreadsheet | |
| 44DOC-S3755 Terms-and-conditions-for-services.pdf | ||
| 44DOC-S3755 Standard-form-contract.docx | DOCX document | |
| 44DOC-S3755 INSURANCE REQUIREMENTS.pdf | ||
| 44DOC-S3755 RFP~10.docx | DOCX document | |
| 44DOC-S3755-Vendor-Information-Response.pdf | ||
| 44DOC-S3755 FACILITY ADRESSES~1.docx | DOCX document | |
| 44DOC-S3755 -reference-questionnaire~2.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 44DOC-S3755-site-visit-sign-in-sheet.xlsx | XLSX spreadsheet | |
| 44DOC-S3755 SCOPE OF WORK.docx | DOCX document | |
| 44DOC-S3755 FACILITY ADRESSES~2.docx | DOCX document | |
| 44DOC-S3755-site-visit-registration~1.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 .