Certification-regarding-lobbying~3.pdf
PDF 120 KB Posted
- Attached to
- Pharmaceutical Inventory System
- Solicitation number
- 44DOC-S2914
- Issued by
- White Pine County, Nevada
About this file
This is a Certification Regarding Lobbying form from the Nevada State Purchasing Division, Department of Administration, located in Carson City. The document represents a required certification that must be completed by vendors participating in federal contracts, grants, loans, or cooperative agreements. The form outlines three key certification requirements regarding the use of federal funds and 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 this certification language to be included in all sub-awards. Failure to file this required certification can result in civil penalties ranging from $10,000 to $100,000 per occurrence. The form requires the vendor to provide the date, solicitation number, vendor name, authorized signer name, and signature to complete the certification.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 440-S2914 - Insurance Schedule~1.docx | DOCX document | |
| RFP 44DOC-S2914 - Cost Schedule - 02-27-2025~1.docx | DOCX document | |
| Standard-form-contract~1.docx | DOCX document | |
| Terms-and-conditions-for-services~3.pdf | ||
| 440-S2914 - Insurance Schedule - Updated_RM Reviewed_3_4_2025.docx | DOCX document | |
| 44DOC-S2914 - Reference Questionnaire~1.docx | DOCX document | |
| 44DOC-S2914 - request-for-proposals -02-27-2025~3.docx | DOCX document | |
| Quote Instructions.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .