Certification-regarding-lobbying~3.pdf
PDF 120 KB Posted
- Attached to
- Vehicle Remote Sensing
- Solicitation number
- 81DMV-S3985
- Issued by
- Clark County, 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 Vehicle Remote Sensing procurement by the Nevada Department of Motor Vehicles. The form serves as a mandatory certification requirement for vendors submitting proposals in response to the formal RFP. The certification requires the undersigned to attest that no federally appropriated funds have been or will be paid to influence federal officers, members of Congress, or their employees in connection with the award of any federal contract, grant, loan, or cooperative agreement. Vendors must complete this form and return it with their bid submission, with blanks provided for the date, solicitation number, vendor name, authorized signer name, and authorized signature.
The certification constitutes a material representation of fact and is a prerequisite imposed by section 1352 of U.S. Code for entering into any federally funded transaction. Should any non-federal funds be used for lobbying purposes, the vendor must complete and submit Standard Form-LLL, Disclosure of Lobbying Activities. The certification language must be included in all sub-award documents at all tiers, and all sub-recipients must certify and disclose accordingly. Failure to file the required certification subjects the vendor to civil penalties ranging from $10,000 to $100,000 for each failure. This form is applicable to the Vehicle Remote Sensing RFP and reflects Nevada's compliance with federal requirements for state and local procurement activities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 81DMV-S3985-Vendor-Information-Response.pdf | ||
| Quote Instructions.pdf | ||
| 81DMV-S3985 - Cost Schedule.xls | XLS spreadsheet | |
| 81DMV-S3985-Request-for-Proposals.docx | DOCX document | |
| Standard Form Contract - DMV Language~2.docx | DOCX document | |
| Insurance Schedule - RFP 81DMV-S3985 - RFP.docx | DOCX document | |
| Terms-and-conditions-for-services~3.pdf | ||
| 81DMV-S3985-Reference-Questionnaire.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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