Certification regarding lobbying.pdf
PDF 120 KB Posted
- Attached to
- Galletti Flooring - SRC
- Solicitation number
- 40DHHS-S3192
- Issued by
- Washoe County, 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 paid to influence federal officials in connection with federal contracts, grants, loans, or cooperative agreements.
The certification mandates disclosure through Standard Form-LLL if non-federal funds are used for lobbying activities and requires this certification language to be included in all sub-award documents. Failure to file the required certification results in civil penalties ranging from $10,000 to $100,000 per violation. The form requires submission of the date, solicitation number, vendor name, authorized signer name, and authorized signature. This is a revised 2024-10 version of the form.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 40DHHS-S3192 1.1.1 Request for Proposal.docx | DOCX document | |
| 40DHHS-S3192 3.2.1 Scope of Work.pdf | ||
| 40DHHS-S3192 3.3.2 Proposed Staff Resume.docx | DOCX document | |
| Insurance Schedule~5.docx | DOCX document | |
| 40DHHS-S3192 3.3.1 Cost Proposal.docx | DOCX document | |
| 40DHHS-S3192 3.3.5 Site Visit Registration Form.pdf | ||
| Standardformcontract.docx | DOCX document | |
| 40DHHS-S3192 3.1.1 Terms and Conditions for Services.pdf | ||
| 40DHHS-S3192 3.3.3 Reference Questionnaire.pdf | ||
| Quote Instructions.pdf | ||
| Quote Instructions~1.pdf |
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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 .