Certification-regarding-lobbying~1.pdf
PDF 120 KB Posted
- Attached to
- Disaster Response and Recovery Services
- Solicitation number
- 01GO-S3906
- Issued by
- Nevada
About this file
This is a Certification regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration, for use in connection with a Disaster Response and Recovery Services contract opportunity on behalf of the Nevada Office of Emergency Management. The form serves as a prerequisite certification document that vendors must complete and submit as part of their proposal response. The certification requires vendors to attest to compliance with federal lobbying restrictions and disclosure requirements mandated by section 1352 of U.S. Code. Vendors must complete the form by providing the solicitation number, vendor name, authorized signer name, and signature, along with the date of submission.
The certification addresses federal appropriated funds restrictions, prohibiting vendors from using any federally appropriated funds to influence federal agency officers, members of Congress, or congressional staff in connection with the federal contract award. If non-federal funds are used for lobbying purposes, vendors must complete and submit Standard Form-LLL disclosing such activities. Additionally, vendors must ensure this certification language is included in all sub-award documents at all tiers, including subcontracts and sub-grants, with all sub-recipients required to certify and disclose accordingly. Failure to file the required certification subjects vendors to civil penalties ranging from $10,000 to $100,000 for each violation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 01GO-S3906-reference-questionnaire.docx | DOCX document | |
| 01GO-S3906 Service_Identifier_Spreadsheet.xlsx | XLSX spreadsheet | |
| 01GO-S3906 Disaster Response and Recovery Services RFP~3.pdf | ||
| 01GO-S3906 Service_Identifier_Spreadsheet_Revised.xlsx | XLSX spreadsheet | |
| 01GO-S3906 INSURANCE REQUIREMENTS.pdf | ||
| 01GO-S3906-Vendor-Information-Response.pdf | ||
| Quote Instructions.pdf | ||
| 01GO-S3906 SOW Revised.pdf | ||
| 01GO-S3906 SOW.pdf | ||
| Terms-and-conditions-for-services~1.pdf | ||
| Federal Funding.pdf | ||
| Standard-form-contract~1.docx | DOCX document | |
| 01GO-S3906 Disaster Response and Recovery Services Answers.xlsx | XLSX spreadsheet | |
| 01GO-S3906 Disaster Response and Recovery Services RFP Revised.pdf | ||
| 01GO-S3906-reference-questionnaire~1.docx | DOCX document |
Show all 15
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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: |
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