44DOC-S3955 Certification-regarding-lobbying.pdf

PDF 125 KB Posted

Attached to
Water Treatment Services for Boilers, Chillers, and Cooling Towers
Solicitation number
44DOC-S3955
Issued by
Nevada

About this file

This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration, for solicitation 44DOC-S3955 on behalf of the Nevada Department of Corrections. The document certifies that no federal appropriated funds have been or will be paid to influence federal officials in connection with the awarding of federal contracts, grants, loans, or cooperative agreements. The form requires vendors to acknowledge their compliance with federal lobbying restrictions and mandates that all sub awards and sub recipients at all tiers include identical certification language and comply with disclosure requirements.

The certification represents a material representation of fact required under section 1352, U.S. Code, and must be completed and signed by authorized vendor representatives prior to award. Any person or entity failing to submit the required certification is subject to civil penalties ranging from $10,000 to $100,000 for each failure. The solicitation pertains to comprehensive chemical water treatment services for boilers, cooling towers, chillers, and associated systems across multiple Nevada Department of Corrections facilities. Vendors must be qualified and appropriately licensed by the Nevada State Contractors' Board to submit proposals for this opportunity.

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44DOC-S3955 FACILITY ADRESSES.docx DOCX document
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44DOC-S3955 Standard-form-contract.docx DOCX document
44DOC-S3955 SOW.docx DOCX document
44DOC-S3955 RFP~7.docx DOCX document
44DOC-S3955-Vendor-Information-Response.pdf PDF
44DOC-S3955-reference-questionnaire.docx DOCX document
44DOC-S3955 Cost Schedule.docx DOCX document
44DOC-S3955 Site visit schedule~1.docx DOCX document
44DOC-S3955-site-visit-sign-in-sheet.xlsx XLSX spreadsheet
44DOC-S3955-site-visit-registration.pdf PDF
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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: 7/23/2026
Solicitation number: 44DOC-S3955
Vendor name:
Authorized signer name:

File details come from the government source that posted it. Updated .