90DETR-S3759 Certification-regarding-lobbying.pdf
PDF 120 KB Posted
- Attached to
- Vehicle Modifications
- Solicitation number
- 90DETR-S3759
- Issued by
- Nevada
About this file
This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration, applicable to federal contracts and grants. The form applies to the Department of Employment, Training and Rehabilitation, Bureau of Vocational Rehabilitation's solicitation for vehicle modification services. The certification requires vendors to attest that no federal appropriated funds have been or will be paid to influence federal agency officers, members of Congress, or congressional employees in connection with the awarding of federal contracts, grants, loans, or cooperative agreements. Vendors must complete the form by providing the solicitation number, vendor name, authorized signer name, authorized signature, and date before submitting their proposal.
If any non-federal funds have been or will be paid for lobbying activities in connection with the federal contract, grant, loan, or cooperative agreement, the vendor is required to complete and submit Standard Form-LLL, Disclosure of Lobbying Activities, in accordance with its instructions. The vendor must also ensure that all sub-recipients, subcontractors, and sub-grantees include identical certification language in their award documents and certify and disclose accordingly. This certification is a material representation of fact required under section 1352, U.S. Code, and failure to file the required certification subjects the vendor to civil penalties ranging from $10,000 to $100,000 for each failure.
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Other files
| File | Type | Posted |
|---|---|---|
| 90DETR-S3759 Vehicle Mod List of Services.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 90DETR-S3684 Terms-and-conditions-for-services.pdf | ||
| 90DETR-S3759 INSURANCE REQUIREMENTS.pdf | ||
| 90DETR-S3759-Vendor-Information-Response.pdf | ||
| 90DETR-S3759 SOW.docx | DOCX document | |
| 90DETR-S3759 Cost Schedule.xlsx | XLSX spreadsheet | |
| 90DETR-S3759 Standard-form-contract.docx | DOCX document | |
| 90DETR-S3759 RFP.docx | DOCX document | |
| 90DETR-S3759-reference-questionnaire.docx | DOCX document | |
| 90DETR-S3759 Contract Provisions for Non-Federal Entity Contracts Funding Disclosure Statement FFY2024.docx | DOCX document |
Show all 11
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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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