Certification for Contracts Grants Loans and Cooperative Agreements.pdf
PDF 112 KB Posted
- Solicitation number
- 99SWC-S1735
- Issued by
- Churchill County, Nevada
About this file
This document is a Certification for Contracts, Grants, Loans, and Cooperative Agreements. It outlines the certifications and disclosures required for entities entering into federal contracts, grants, loans, or cooperative agreements. The certification requires the contractor to affirm that no federal appropriated funds have been or will be paid to influence government officials, and that the contractor will include this certification language in all subcontracts and subgrants. Failure to provide this certification can result in civil penalties.
The related state and local contract opportunity is for Monoclonal Antibody Treatment Mobile Outpatient Services in the state of Nevada. The document does not provide additional details about the scope, quantities, timeline, or other specifics of this contract opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| Contract Form.docx | DOCX document | |
| Additional Requirements for State Contracts.pdf | ||
| Certification Regarding Lobbying~1.pdf | ||
| Terms and Conditions for Services~1.pdf | ||
| Reference Questionnaire~1.docx | DOCX document | |
| Proposed Staff Resume~1.docx | DOCX document | |
| Service Agreement Template~2.docx | DOCX document | |
| Vendor Certifications~1.pdf | ||
| 99SWC-S1735 Monoclonal Antibody Treatment Services~1.docx | DOCX document | |
| Confidentiality and Certification of Indemnification~1.pdf | ||
| Federal Laws and Authorities~1.pdf | ||
| Vendor Information Response~1.docx | DOCX document | |
| Insurance Schedule~2.docx | DOCX document | |
| Quote Instructions.pdf |
Show all 14
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Text version
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 an 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 Federal 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 Form to Report Lobbying,” in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients 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, title 31, 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.
Contractor, ___________________________, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. Chap. 38, Administrative Remedies for
False Claims and Statements, apply to this certification and disclosure, if any.
Signature of Contractor’s Authorized Official
Name and Title of Contractor’s Authorized Official
Date
File details come from the government source that posted it. Updated .