Certification-regarding-lobbying~1.pdf

PDF 120 KB Posted

Attached to
UPS Service Maintenance
Solicitation number
81DMV-S3894
Issued by
Nevada

About this file

This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration, applicable to state and local contract opportunities in Nevada. The document pertains to a formal RFP for UPS Service Maintenance, which seeks inspections, corrective and emergency maintenance services for Uninterruptible Power Supply systems and components located in northern and southern Nevada Department of Motor Vehicle Offices. The form serves as a certification requirement for vendors participating in this procurement process.

The certification addresses federal lobbying compliance requirements under Section 1352 of U.S. Code. Vendors must certify that no federal appropriated funds have been or will be paid to influence federal officials in connection with the contract award. If non-federal funds are used for lobbying activities, vendors must complete and submit Standard Form-LLL, Disclosure of Lobbying Activities. Vendors are required to include this certification language in all subaward documents and require sub-recipients to certify and disclose accordingly. Failure to file the required certification subjects the vendor to civil penalties ranging from $10,000 to $100,000 for each violation. The form includes blank fields for the solicitation number, vendor name, authorized signer name, signature, and date to be completed by the submitting vendor.

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Other files

File Type Posted
Terms-and-conditions-for-services~1.pdf PDF
Standard-form-contract.docx DOCX document
81DMV-S3894 Ins Doc Req.pdf PDF
81DMV-S3894-reference-questionnaire~3.docx DOCX document
81DMV-S3894-Vendor-Information-Response.pdf PDF
81DMV-S3894- Cost Schedule UPS_FY28_FY29_~1.xls XLS spreadsheet
81DMV-S3894 RFP~3.pdf PDF
81DMV-S3894 - Scope of Work~1.pdf PDF
Quote Instructions.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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