Certification Regarding Lobbying.pdf
PDF 104 KB Posted
- Attached to
- Rock and Mineral Exhibits Fabrication
- Solicitation number
- 50COMR-S1696
- Issued by
- Washoe County, Nevada
About this file
The document is a Certification Regarding Lobbying form for a state and local contract opportunity in Nevada involving the fabrication of rock and mineral exhibits for the jurisdictions of Carson City. The certification outlines requirements that no federal appropriated funds shall be used to influence government officials, along with disclosure and flow-down provisions. The contract opportunity involves the fabrication of rock and mineral exhibits for display in Carson City. No further details on the project scope, quantities, response due dates, award dates, or contract term are provided in the document.
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Other files
| File | Type | Posted |
|---|---|---|
| Cost Schedule.xlsx | XLSX spreadsheet | |
| Terms and Conditions for Services.pdf | ||
| Standard Form Contract.docx | DOCX document | |
| Quote Instructions.pdf | ||
| Vendor Information Response.docx | DOCX document | |
| Design Files.pdf | ||
| Proposed Staff Resume.docx | DOCX document | |
| Federal Laws and Authorities.pdf | ||
| Terms and Conditions for Goods.pdf | ||
| Vendor Certifications.pdf | ||
| Reference Questionnaire.docx | DOCX document | |
| Insurance Schedule S1696.docx | DOCX document | |
| Confidentiality and Certification of Indemnification.pdf | ||
| RFP 50COMR-S1696 Rock and Mineral Exhibit.docx | DOCX document |
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Text version
CERTIFICATION REGARDING LOBBYING
Revised: April 2021 Page 1 of 1
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.
Vendor Name:
Project Title:
Print Name of Official Authorized to Sign Application:
Signature of Official Authorized to Sign Application:
Date:
| Vendor Name: |
| Project Title: |
| Print Name of Official Authorized to Sign Application: |
| Date: |
File details come from the government source that posted it. Updated .