Attachment H - Certification Regarding Lobbying.pdf
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- Solicitation number
- 30DOE-S1429
- Issued by
- Churchill County, Nevada
About this file
This document is a Certification Regarding Lobbying that must be submitted as part of a vendor's technical proposal for the External Evaluator-Expanding Access to Well-Rounded Opportunities grant opportunity issued by the State of Nevada Purchasing Division on behalf of the Nevada Department of Education. The grant opportunity seeks an external evaluator to provide guidance and recommendations for the Expanding Access to Well-Rounded Courses grant. The jurisdictions involved include the cities of Carson City. The certification requires the vendor to disclose any federal funds used for lobbying activities related to the contract, grant, loan, or cooperative agreement. Submission of this certification is a prerequisite for entering into this transaction.
The pricing terms, set asides, funding requirements and sources, and other salient information are not provided in this document. This document solely focuses on the certification regarding lobbying activities related to the contract opportunity.
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Text version
ATTACHMENT H – 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
| ATTACHMENT H – CERTIFICATION REGARDING LOBBYING |
| ATTACHMENT I – FEDERAL LAWS AND AUTHORITIES |
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