Certification-regarding-lobbying.pdf

PDF 108 KB Posted

Attached to
Risk Assessment for State Energy Security Plan State and local contract opportunity
Solicitation number
01GO-S3141
Issued by
Nevada

About this file

This is a Certification Regarding Lobbying form from the Nevada State Purchasing Division, Department of Administration. The document requires vendors to certify that no federal appropriated funds have been or will be used to influence or attempt to influence federal officials in connection with federal contracts, grants, loans, or cooperative agreements.

The certification mandates disclosure of any non-federal funds used for lobbying activities through Standard Form-LLL and requires this certification language to be included in all sub-awards. Violations of this certification requirement result in civil penalties ranging from $10,000 to $100,000 per occurrence. The form requires vendors to provide the date, solicitation number, vendor name, and authorized signer information as part of the certification process.

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01GO-S3141 2025 Risk Assessment RFP.docx DOCX document
01GO-S3141 Insurance Requirement.docx DOCX document
SESP Section 40108-40109.pdf PDF
2024 Nevada State Energy Security Plan.pdf PDF
Quote Instructions.pdf PDF
Standard Form Contract~8.docx DOCX document
01GO-S3141 Reference Questionnaire.pdf PDF
State of Nevada Terms and Conditions for Services~1.pdf PDF

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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:

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