Certification-regarding-lobbying~7.pdf
PDF 120 KB Posted
- Attached to
- Canada Representation Office
- Solicitation number
- 10TCA-S3687
- Issued by
- Churchill 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 federal contract opportunities. The document serves as a material representation of fact required by section 1352, U.S. Code, and must be submitted as a prerequisite for entering into federal transactions. The form requires the authorized representative of a vendor to certify that no federal appropriated funds have been or will be paid to influence officers or employees of any federal agency, members of Congress, or congressional employees in connection with the award of federal contracts, grants, loans, or cooperative agreements. The certification must be completed with the solicitation number, vendor name, authorized signer name, and signature, with spaces provided for date completion.
The form further requires vendors to disclose any non-federal funds paid or to be paid for lobbying activities by completing Standard Form-LLL in accordance with its instructions. Vendors must also ensure that the certification language is included in all sub-award documents at all tiers, including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements, with all sub-recipients required to certify and disclose accordingly. Failure to file the required certification subjects any person to civil penalties ranging from not less than $10,000 to not more than $100,000 for each violation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 10TCA-S3687 - Cost Schedule - Final.xlsx | XLSX spreadsheet | |
| 10TCA-S3687 - reference-questionnaire.docx | DOCX document | |
| Terms-and-conditions-for-services~8.pdf | ||
| Insurance Schedule~5.pdf | ||
| Quote Instructions.pdf | ||
| 10TCA-S3687 - Questions and Answers.docx | DOCX document | |
| 10TCA-S3687 - request-for-proposals.docx | DOCX document | |
| Standard-form-contract~6.docx | DOCX document | |
| 10TCA-S3687 - Vendor-Information-Response.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 .