44DOC-S4058 Certification-regarding-lobbying.pdf
PDF 125 KB Posted
- Attached to
- Vending Services
- Solicitation number
- 44DOC-S4058
- Issued by
- Nevada
About this file
This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration, for the vending services solicitation 44DOC-S4058. The form serves as a mandatory federal compliance document required for all bidders and contractors participating in federally-funded procurement activities with the State of Nevada.
The certification requires vendors to attest that no federal appropriated funds have been paid or will be paid to influence federal officials or Members of Congress in connection with the federal contract award. Additionally, vendors must disclose any non-federal funds used for lobbying purposes by completing Standard Form-LLL if applicable. Vendors are required to include identical certification language in all subaward documents at all tiers and ensure all subrecipients certify and disclose accordingly. The form includes fields for the solicitation number (44DOC-S4058), vendor name, authorized signer name, authorized signature, and date. Submission of this certification is a prerequisite for contract award, and failure to file the required certification subjects vendors to civil penalties ranging from $10,000 to $100,000 for each failure, as established under Section 1352 of U.S. Code.
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Other files
| File | Type | Posted |
|---|---|---|
| 44DOC-S4058 Terms-and-conditions-for-services.pdf | ||
| 44DOC-S4058 COST_COMMISSION SCHEDULE.docx | DOCX document | |
| 44DOC-S4058 PREA Zero Tolerance Policy and Reporting.docx | DOCX document | |
| 44DOC-S4058-Vendor-Information-Response.pdf | ||
| Quote Instructions.pdf | ||
| 44DOC-S3408 Insurance Requirements.pdf | ||
| 44DOC-S4058 RFP~1.docx | DOCX document | |
| 44DOC-S4058-reference-questionnaire.docx | DOCX document | |
| 44DOC-S4058 Scope of Work SOW~1.docx | DOCX document | |
| 44DOC-S4058 Terms-and-conditions-for-goods.pdf | ||
| 44DOC-S4058 NDOC Contractor and Volunteer PREA Questionnaire.pdf | ||
| 44DOC-S4058 Contractor Security Regulations Acknowledgement Form (2-22).docx | DOCX document | |
| 44DOC-S4058-site-visit-registration.pdf | ||
| 44DOC-S4058 Contractor Background Check Application.docx | DOCX document | |
| 44DOC-S4058 Standard-form-contract.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: 44DOC-S4058 |
| Vendor name: |
| Authorized signer name: |
File details come from the government source that posted it. Updated .