ATTACHMENT H Certification Regarding Lobbying.pdf

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Attached to
Fencing & Gates Repairs & Installation
Solicitation number
43ADG-S1577
Issued by
Washoe County, Nevada

About this file

This document is a Certification Regarding Lobbying for a state and local contract opportunity issued by the State of Nevada Purchasing Division on behalf of the Nevada Army National Guard (NVARNG). The contract is for as-needed services for repairing and installing various types of fences and gates located throughout the state, including in the jurisdictions of Carson City. The project will span multiple years and is dependent on the availability of funding provided by the National Guard Bureau.

The pricing terms, set-asides, incumbent information, funding requirements and sources are not provided in the given materials. However, the document indicates that submission of this certification is a prerequisite for the contract opportunity.

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Text version

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 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.

By:

Signature of Official Authorized to Sign Application Date

For:

Vendor Name

Project Title

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

CERTIFICATION REGARDING LOBBYING

Date:
Vendor Name:
Project Title:

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