Certification-regarding-lobbying~6.pdf
PDF 120 KB Posted
- Attached to
- Camp Washoe Gas Upgrade
- Solicitation number
- 43ADG-S4017
- Issued by
- 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 the Camp Washoe Gas Upgrade project in Nevada. The document serves as a prerequisite certification that must be completed and submitted by vendors bidding on this state and local contract opportunity, which involves trenching and restoration of polyethylene gas supply lines to Nevada Army National Guard's Camp Washoe facility.
The certification requires the authorized signer to attest that no Federal appropriated funds have been or will be paid to influence government officials in connection with the awarding of any Federal contract, grant, loan, or cooperative agreement. If non-Federal funds are used for lobbying activities, vendors must complete and submit Standard Form-LLL, Disclosure of Lobbying Activities. Vendors must also ensure this certification language is included in all sub-award documents and that all sub-recipients provide corresponding certifications. Failure to file the required certification subjects violators to civil penalties ranging from $10,000 to $100,000 for each violation. The form requires completion with the solicitation number, vendor name, authorized signer name, authorized signature, and date prior to submission.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| XXXX-site-visit-registration-20XX-XX-XX~1.pdf | ||
| XXXX-cost-schedule~1.xlsx | XLSX spreadsheet | |
| Standard-form-contract~3.docx | DOCX document | |
| GEA_16~1.PDF | ||
| Camp Washoe Google Maps.pdf | ||
| Terms-and-conditions-for-services~5.pdf | ||
| Quote Instructions.pdf | ||
| Request for Proposal~1.pdf | ||
| SOW CW Gas Service Upgrade.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 .