BRDCOM-S3612 Certification-regarding-lobbying.pdf
PDF 120 KB Posted
- Attached to
- Lobbying and Public Relations Services
- Solicitation number
- BRDCOM-S3612
- Issued by
- Churchill County, Nevada
About this file
This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration, for use in federal contract procurements. The document serves as a mandatory compliance certification that must be completed and submitted by vendors bidding on federal contracts, grants, loans, or cooperative agreements. The form requires authorized signers to certify that no federal appropriated funds have been or will be paid to influence government officials or members of Congress in connection with the award of federal contracts or related transactions. Vendors must also commit to including identical certification language in all subaward documents and require all subrecipients to certify and disclose accordingly.
The certification includes disclosure requirements whereby vendors receiving non-federal funds for lobbying activities must submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. Submission of this certification is a prerequisite for contract award, and failure to comply subjects vendors to civil penalties ranging from $10,000 to $100,000 for each failure. The form requires completion of fields for the date, solicitation number, vendor name, authorized signer name, and authorized signature, establishing this as a material representation of fact upon which the government relies when entering into the transaction.
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Other files
| File | Type | Posted |
|---|---|---|
| 43ADG-S3625 Vendor-Information-Response.pdf | ||
| 43ADG-S3625 SoW_Lighting Controls_Service Contract_REV 1-12-2026.pdf | ||
| 43ADG-S3625 Terms-and-conditions-for-services.pdf | ||
| BRDCOM-S3612 Standard-form-contract.docx | DOCX document | |
| BRDCOM-S3612 Cost Schedule.pdf | ||
| BRDCOM-S3612 INSURANCE REQUIREMENTS.pdf | ||
| 44DOC-S3623 NDOC OMS RFI.docx | DOCX document | |
| Quote Instructions .pdf | ||
| BRDCOM-S3612 Terms-and-conditions-for-services.pdf | ||
| BRDCOM-S3612-Vendor-Information-Response.pdf | ||
| BRDCOM-S3612 NOI.docx | DOCX document | |
| BRDCOM-S3612-reference-questionnaire~1.docx | DOCX document | |
| BRDCOM-S3612 RFP~1.docx | DOCX document | |
| 44DOC-S3623 Bid_Q_A_responses.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: |
File details come from the government source that posted it. Updated .