70CNR-S3879-Certification-regarding-lobbying.pdf

PDF 125 KB Posted

Attached to
WIIN Water Testing in Schools and Daycares
Solicitation number
70CNR-S3879
Issued by
Nevada

About this file

This is a Certification Regarding Lobbying form submitted to the Nevada State Purchasing Division, Department of Administration, in connection with solicitation 70CNR-S3879 for WIIN Water Testing services in schools and daycares on behalf of the Nevada Division of Conservation and Natural Resources (DCNR) and Nevada Department of Environmental Protection (NDEP). The certification requires the undersigned vendor to attest that no Federal appropriated funds have been or will be paid to influence any officer or employee of a Federal agency, Member of Congress, or Congressional staff in connection with the award of this Federal contract, grant, loan, or cooperative agreement.

The document serves as a material representation of fact and compliance requirement mandated by Section 1352 of U.S. Code. Any vendor failing to submit the required certification is subject to civil penalties ranging from $10,000 to $100,000 for each failure. The form requires completion with the solicitation number, vendor name, authorized signer name, signature, and date. Additionally, the vendor must ensure that identical certification language is included in all sub award documents at all tiers, including subcontracts and sub grants, with all sub recipients required to certify and disclose lobbying activities accordingly on Standard Form-LLL if non-Federal funds have been used for lobbying purposes.

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Other files

File Type Posted
70CNR-S3879-Vendor-Information-Response.pdf PDF
70CNR-S3879 Scope of Work~1.docx DOCX document
70CNR-S3879-Standard-form-contract.docx DOCX document
70CNR-S3879-Request-for-Proposals~2.docx DOCX document
70CNR-S3879-Cost Schedule~1.docx DOCX document
Terms-and-conditions-for-services~13.pdf PDF
70CNR-S3879-Reference-Questionnaire~1.docx DOCX document
70CNR-S3879 Insurance Schedule.docx DOCX document
Quote Instructions.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:
Solicitation number: 70CNR-S3879
Vendor name:
Authorized signer name:

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