Certification-regarding-lobbying~27.pdf
PDF 120 KB Posted
- Attached to
- Food Services
- Solicitation number
- 40DHHS-S3910
- 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 a Food Services contract opportunity with the State of Nevada. The form certifies compliance with federal lobbying restrictions and is required for the Food Services solicitation, which involves providing meal services to patients across multiple state facilities including Desert Regional Center, Northern Nevada Adult Mental Health Services, Lakes Crossing Center, Southern Nevada Adult Mental Health Services, and both Northern and Southern Nevada Department of Child and Family Services locations. The document serves as a prerequisite certification that must be completed and submitted by vendors as part of their bid response, with spaces provided for the solicitation number, vendor name, authorized signer information, and submission date.
The certification requires vendors to affirm that no federal appropriated funds will be used to influence government officials in connection with this contract award, and that any non-federal funds used for lobbying activities must be disclosed on Standard Form-LLL. Vendors must also ensure this certification language is included in all subcontract award documents and that all subrecipients provide equivalent certifications. Failure to file the required certification exposes vendors to civil penalties ranging from $10,000 to $100,000 per violation. This certification is a material representation of fact and a mandatory condition for entering into the transaction under section 1352 of the U.S. Code, indicating that federal funds are involved in this state contract opportunity.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 40DHHS-S3910-Vendor-Information-Response.pdf | ||
| Terms-and-conditions-for-services~32.pdf | ||
| 40DHHS-S3910-reference-questionnaire.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 40DHHS-S3910 - Cost Schedule.docx | DOCX document | |
| 40DHHS-S3910 - Site Visit Registration Form.docx | DOCX document | |
| 40DHHS-S3910 - request-for-proposals~1.docx | DOCX document | |
| 40DHHS-S3910 - Insurance Schedule.docx | DOCX document | |
| Standard-form-contract~26.docx | DOCX document |
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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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