ATTACHMENT F Certification Regarding Lobbying~1.docx

DOCX document 22 KB Posted

Attached to
Medical & Related Services
Solicitation number
99SWC-S107
Issued by
Churchill County, Nevada

About this file

This document is an "ATTACHMENT F CERTIFICATION REGARDING LOBBYING" that must be completed and submitted as part of a vendor's technical proposal for a federal contract, grant, loan, or cooperative agreement. The certification outlines requirements for the vendor to disclose any payments made to influence federal government officials in connection with the award of the contract. Vendors must certify that no federal appropriated funds have been used for lobbying and must submit a disclosure form if any other funds have been used for lobbying purposes. Vendors must also include this certification language in any sub-awards. Failure to provide the required certification can result in civil penalties.

The related state and local contract opportunity is for "Medical & Related Services" in the state of Nevada. The contract details, such as item quantities, response dates, award dates, and contract term, are not provided in the given documentation.

View the file

Other files

File Type Posted
Attachment C Professional Qualification.pdf PDF
Attachment E Insurance~1.docx DOCX document
List of Services updated 4-25-18.docx DOCX document
Attachment A 99SWC-S107.docx DOCX document
Attachment H Sample Work Order~1.doc DOC document
Attachment B Submission Letter.pdf PDF
RFQ 99SWC-S107 Medical and Related Services.docx DOCX document
Attachment D Contract~1.docx DOCX document
Section 3 Background Information Sheet~3.pdf PDF
Vendor Information Sheet.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

ATTACHMENT F CERTIFICATION REGARDING LOBBYING

Certification for Contracts, Grants, Loans, and Cooperative Agreements

The undersigned certifies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or will 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 will 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.

By:

Signature of Official Authorized to Sign Application

Date

For:

Vendor Name

Project Title

This document must be submitted in Section IV of vendor’s technical proposal

The information in this section does not need to be returned with the vendor’s proposal. Following is a list of Federal Laws and Authorities with which the awarded vendor will be required to comply.

ENVIRONMENTAL:

1. Archeological and Historic Preservation Act of 1974, PL 93-291

2. Clean Air Act, 42 U.S.C. 7506(c)

3. Endangered Species Act 16 U.S.C. 1531, ET seq.

4. Executive Order 11593, Protection and Enhancement of the Cultural Environment.

5. Executive Order 11988, Floodplain Management

6. Executive Order 11990, Protection of Wetlands

7. Farmland Protection Policy Act, 7 U.S.C. 4201 ET seq.

8. Fish and Wildlife Coordination Act, PL 85-624, as amended

9. National Historic Preservation Act of 1966, PL 89-665, as amended

10. Safe Drinking Water Act, Section 1424(e), PL 92-523, as amended

ECONOMIC:

1. Demonstration Cities and Metropolitan Development Act of 1966, PL 89-754, as amended

2. Section 306 of the Clean Air Act and Section 508 of the Clean Water Act, including Executive Order 11738, Administration of the Clean Air Act and the Federal Water Pollution Control Act with Respect to Federal Contracts, Grants or Loans

SOCIAL LEGISLATION

1. Age Discrimination Act, PL 94-135

2. Civil Rights Act of 1964, PL 88-352

3. Section 13 of PL 92-500; Prohibition against sex discrimination under the Federal Water Pollution Control Act

4. Executive Order 11246, Equal Employment Opportunity

5. Executive Orders 11625 and 12138, Women’s and Minority Business Enterprise

6. Rehabilitation Act of 1973, PL 93, 112

MISCELLANEOUS AUTHORITY:

1. Uniform Relocation and Real Property Acquisition Policies Act of 1970, PL 91-646

2. Executive Order 12549 – Debarment and Suspension

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