Certification-regarding-lobbying~5.pdf
PDF 120 KB Posted
- Attached to
- Employee Drug and Alcohol Testing
- Solicitation number
- 99SWC-S4004
- Issued by
- Nevada
About this file
This is a Certification Regarding Lobbying form submitted for the State of Nevada's Employee Drug and Alcohol Testing contract opportunity. The document serves as a compliance certification required from vendors bidding on the state's Request for Qualifications for collection and testing services of urine, breath, blood, and bodily substances for alcohol and drugs of abuse throughout Nevada. The form establishes the bidder's acknowledgment of federal lobbying restrictions and certification that neither the bidder nor any of its principals have engaged in prohibited lobbying activities related to the contract solicitation.
The certification requires the bidder to affirm compliance with federal regulations restricting the use of federal funds for lobbying purposes and to disclose any lobbying contacts made on behalf of the organization. The form is a standard federal compliance document necessary for contract award consideration and must be completed and submitted as part of the proposal package. This certification is a prerequisite for vendors to be deemed eligible for award and demonstrates the bidder's commitment to adhering to federal procurement standards and regulations governing the use of government funds.
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Other files
| File | Type | Posted |
|---|---|---|
| INSURANCE REQUIREMENTS.docx | DOCX document | |
| Scope_of_Work_99SWC-S4004.docx | DOCX document | |
| Quote Instructions.pdf | ||
| RFQ_99SWC-S4004 Revised.pdf | ||
| RFQ_99SWC-S4004~1.docx | DOCX document | |
| Cost Schedule 99SWC-S4004.xlsx | XLSX spreadsheet | |
| Service Locations RFQ 99SWC-S4004.xlsx | XLSX spreadsheet | |
| Activity Summary sample.pdf | ||
| Standard-form-contract~7.docx | DOCX document | |
| Vendor_Qualifications_Response_RFQ_99SWC-S4004.xlsx | XLSX spreadsheet | |
| Terms-and-conditions-for-services~9.pdf | ||
| Historical Testing Volumes.pdf | ||
| 99SWC-S4004 Bid_Answers.xlsx | XLSX spreadsheet |
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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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