Certification-regarding-lobbying~21.pdf
PDF 120 KB Posted
- Solicitation number
- 40DHHS-S3545
- Issued by
- Elko County, Nevada
About this file
This is a Certification Regarding Lobbying form issued by the Nevada State Purchasing Division, Department of Administration. The document serves as a certification requirement for vendors and contractors engaging in federal contracts, grants, loans, or cooperative agreements administered by the state of Nevada.
The form requires the undersigned to certify that no federal appropriated funds have been or will be paid to influence federal officers, members of Congress, or congressional employees in connection with the award of federal contracts, grants, loans, or cooperative agreements. If non-federal funds have been or will be paid for lobbying purposes, the vendor must complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with applicable instructions. The certification must be included in all sub-award documents at all tiers, including subcontracts and sub-grants, with all sub-recipients required to certify and disclose accordingly. This certification is a material representation of fact and a prerequisite for transaction execution under section 1352, U.S. Code. Failure to file the required certification subjects the responsible party to civil penalties ranging from $10,000 to $100,000 for each violation. The form requires completion of fields for date, solicitation number, vendor name, authorized signer name, and authorized signature.
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Other files
| File | Type | Posted |
|---|---|---|
| Certification-regarding-lobbying~18.pdf | ||
| Insurance Schedule~7.docx | DOCX document | |
| Standard-form-contract.docx | DOCX document | |
| Quote Instructions (4).pdf | ||
| Quote Instructions (1).pdf | ||
| 40DHHS-S3545 - Vendor-Information-Response.pdf | ||
| Quote Instructions.pdf | ||
| 40DHHS-S3545 - Cost Schedule.docx | DOCX document | |
| Cost Schedule~12.xlsx | XLSX spreadsheet | |
| 40DHHS-S3545 - Insurance Schedule.docx | DOCX document | |
| 40DHHS-S3545 - reference-questionnaire.docx | DOCX document | |
| Quote Instructions (3).pdf | ||
| 40DHHS-S3545 - request-for-proposals - Final.docx | DOCX document | |
| 40DHHS-S3545 - Questions and Answers.docx | DOCX document | |
| Standard-form-contract~18.docx | DOCX document | |
| Terms-and-conditions-for-services~24.pdf |
Show all 16
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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 .