Certification-regarding-lobbying~1.pdf
PDF 120 KB Posted
- Attached to
- Dispatch Phone System
- Solicitation number
- 65DPS-S3091
- Issued by
- Churchill County, Nevada
About this file
This document is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration, located in Carson City. It is a standard certification form that must be completed by vendors participating in federal contracts, grants, loans, or cooperative agreements. The document was revised in 2024-10 and consists of three main certification requirements regarding the use of federal funds for lobbying activities.
The certification requires vendors to attest that no federal funds have been or will be used for lobbying activities, mandates disclosure via Standard Form-LLL if non-federal funds are used for lobbying, and requires the same certification language to be included in all sub-awards. Failure to file the required certification can result in civil penalties ranging from $10,000 to $100,000 per violation. The form requires the vendor to provide the date, solicitation number, vendor name, authorized signer name, and authorized signature to complete the certification.
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| 65DPS-S3091 - Insurance Schedule - Contract.pdf | ||
| Standard-form-contract~1.docx | DOCX document | |
| Terms-and-conditions-for-goods.pdf | ||
| Quote Instructions.pdf | ||
| 65DPS-S3091 - Cost Proposal.docx | DOCX document | |
| Questions - Answers - Updated.xls | XLS spreadsheet | |
| Questions - Answers~1.xls | XLS spreadsheet | |
| 65DPS-S3091-Request-for-Proposals-2024-12-12~1.docx | DOCX document | |
| Terms-and-conditions-for-services~1.pdf | ||
| 65DPS-S3091-Reference-Questionnaire-2024-12-12~1.pdf | ||
| 65DPS-S3091-Notice-of-Intent-2025-02-06.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 .