70CNR-S3862 Certification-regarding-lobbying~1.pdf
PDF 125 KB Posted
- Solicitation number
- 70CNR-S3862
- Issued by
- Churchill County, Nevada
About this file
This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration, in connection with solicitation number 70CNR-S3862 for Permit Writing Assistance and Programmatic Support services. The form is required for the State of Nevada Purchasing Division, on behalf of the Nevada Department of Conservation and Natural Resources (DCNR) and Nevada Department of Environmental Protection (NDEP). The document establishes certification requirements for vendors responding to the RFP and does not contain specific information regarding project scope, quantities, response dates, contract terms, or renewal options, as those details are referenced in separate RFP and Scope of Work documents available in the solicitation attachments.
The form constitutes a material representation of fact required by section 1352, U.S. Code, and addresses federal funding compliance and lobbying disclosure obligations. Vendors must certify that no federal appropriated funds have been or will be paid for lobbying activities, and must disclose any non-federal funds used for influencing federal officials in connection with the contract award. Vendors are required to include identical certification language in all subaward documents and sub-recipient contracts. Failure to submit the required certification subjects vendors to civil penalties ranging from $10,000 to $100,000 per failure. The form requires completion with the solicitation number (70CNR-S3862), vendor name, authorized signer name, and signatures with dates.
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Other files
| File | Type | Posted |
|---|---|---|
| 70CNR-S3862-reference-questionnaire~1.docx | DOCX document | |
| 70CNR-S3862 -Task F SOW Attachement.docx | DOCX document | |
| 70CNR-S3862 - NDEP Additional Terms and Conditions.docx | DOCX document | |
| 70CNR-S3862 Insurance Schedule.docx | DOCX document | |
| Terms-and-conditions-for-services~12.pdf | ||
| 70CNR-S3862 Cost Schedule~1.docx | DOCX document | |
| 70CNR-S3862-request-for-proposals-2026-05-07.docx | DOCX document | |
| 70CNR-S3862 Standard-form-contract.docx | DOCX document | |
| 70CNR-S3862 Scope of Work.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 70CNR-S3862- Potential Future Tasks.docx | DOCX document | |
| 70CNR-S3862 Questions Answered.xlsx | XLSX spreadsheet |
Show all 12
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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: 70CNR-S3862 |
| Vendor name: |
| Authorized signer name: |
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