Certification Regarding Lobbying~1.pdf

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Attached to
Monoclonal Antibody Treatment Mobile Outpatient Services
Solicitation number
99SWC-S1692
Issued by
Nevada

About this file

The provided document is a Certification Regarding Lobbying, which is a required form for any party entering into a federal contract, grant, loan, or cooperative agreement. The certification states that no federal appropriated funds have been or will be used to influence government officials, and that the vendor must require this certification from all subcontractors as well. 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. No other details about the scope, quantities, timeline, or other requirements of this contract opportunity are provided.

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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 .