Certification Regarding Lobbying~1.pdf
PDF 104 KB Posted
- Solicitation number
- 99SWC-S1735
- Issued by
- Churchill County, Nevada
About this file
This document is a Certification Regarding Lobbying for a state and local contract opportunity. It outlines the requirements that vendors must comply with when submitting a proposal or application for a federal contract, grant, loan, or cooperative agreement. The certification includes provisions that prohibit the use of federal funds to influence government officials, and requires the disclosure of any non-federal funds used for such purposes. Vendors must agree to include this certification language in any subcontracts or sub-awards related to the federal funding.
The state and local contract opportunity is for Monoclonal Antibody Treatment Mobile Outpatient Services in the state of Nevada. No additional details about the scope, quantities, response dates, award information, or contract term are provided in the given materials.
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Other files
| File | Type | Posted |
|---|---|---|
| Contract Form.docx | DOCX document | |
| Additional Requirements for State Contracts.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 | ||
| Certification for Contracts Grants Loans and Cooperative Agreements.pdf | ||
| Federal Laws and Authorities~1.pdf | ||
| Vendor Information Response~1.docx | DOCX document | |
| Insurance Schedule~2.docx | DOCX document | |
| Quote Instructions.pdf |
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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 .