90DETR-S3968 Certification-regarding-lobbying.pdf
PDF 120 KB Posted
- Attached to
- Client Payment Card Program
- Solicitation number
- 90DETR-S3968
- 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 funding contracts administered by the State of Nevada. The form serves as a mandatory certification requirement for vendors and contractors participating in state and local contract opportunities that utilize federal appropriated funds. Vendors are required to complete and submit this certification as a prerequisite to award, with the form requiring the authorized signer's name, signature, date, solicitation number, and vendor name. The related contract opportunity is the Client Payment Card Program solicitation for the State of Nevada, which includes a question and answer period with a deadline of August 25, 2026 at 5:00 PM (PST), and answers will be posted on or about September 1, 2026 at 5:00 PM (PST).
The certification certifies that no federal appropriated funds have been or will be paid to influence government officials in connection with federal contracts, grants, loans, or cooperative agreements. If non-federal funds are used for lobbying purposes, vendors must complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities." Vendors are required to include identical certification language in all subaward documents at all tiers, including subcontracts and subgrants. Failure to submit the required certification subjects violators to civil penalties ranging from $10,000 to $100,000 for each violation. This certification is a material representation of fact and a prerequisite imposed by section 1352 of the U.S. Code.
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Other files
| File | Type | Posted |
|---|---|---|
| 90DETR-S3968-reference-questionnaire.docx | DOCX document | |
| 90DETR-S3968-Vendor-Information-Response.pdf | ||
| 90DETR-S3968 Cost Schedule.xlsx | XLSX spreadsheet | |
| 90DETR-S3968 Standard-form-contract.docx | DOCX document | |
| 90DETR-S3968 Terms-and-conditions-for-services.pdf | ||
| 90DETR-S3968 Insurance Requirements.docx | DOCX document | |
| 90DETR-S3968 RFP.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 90DETR-S3968 Requirements Matrix CPC 2026.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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