70CNR-S4044 Certification-regarding-lobbying.pdf
PDF 120 KB Posted
- Attached to
- NDSP Wifi Services
- Solicitation number
- 70CNR-S4044
- Issued by
- Nevada
About this file
This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division under the Department of Administration for use in connection with federal contracts, grants, loans, and cooperative agreements. The form applies to the NDSP Wifi Services contract opportunity for the State of Nevada and serves as a required certification document for vendors and contractors participating in federally-funded procurement activities.
The certification requires the authorized signer to attest that no federal appropriated funds have been or will be paid to influence federal officers, members of Congress, or their employees in connection with the award of federal contracts or grants. The form further mandates that if any non-federal funds are used for lobbying activities, the vendor must complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities." The certification must be included in all subaward documents at all tiers and all subrecipients must certify and disclose accordingly. The document specifies that submission of this certification is a prerequisite for the transaction and is a material representation of fact. Any person failing to file the required certification is subject to civil penalties ranging from $10,000 to $100,000 for each failure, as established under section 1352 of the U.S. Code. The form requires completion with the date, solicitation number, vendor name, authorized signer name, and authorized signature.
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Other files
| File | Type | Posted |
|---|---|---|
| Quote Instructions.pdf | ||
| 70CNR-S4044 Vendor-Information-Response.pdf | ||
| 70CNR-S4044 Reference-Questionnaire.docx | DOCX document | |
| 70CNR-S4044 Insurance Requirements.docx | DOCX document | |
| 70CNR-S4044 RFP for NDSP Wifi Services.docx | DOCX document | |
| 70CNR-S4044 Terms-and-conditions-for-goods.docx | DOCX document | |
| 70CNR-S4044 Standard-form-contract.docx | DOCX document | |
| 70CNR-S4044 Terms-and-conditions-for-services.docx | DOCX document | |
| 70CNR-S4044 Cost Schedule -WIFI.xlsx | XLSX spreadsheet |
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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: |
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