Certification-regarding-lobbying~7.pdf

PDF 120 KB Posted

Attached to
Mental Health Professionals
Solicitation number
65DPS-S4025
Issued by
Nevada

About this file

This is a Certification Regarding Lobbying document submitted in connection with a Request for Qualification (RFQ) issued by the Nevada Department of Public Safety for Mental Health Professionals. The certification form requires the bidder to disclose any lobbying activities conducted using non-federal funds in connection with the federal award or application. The document specifies that the certifying official must confirm whether the organization or any of its principals have engaged in lobbying activities related to obtaining the federal funds associated with this contract opportunity.

The document establishes compliance requirements for federal funding regulations, requiring bidders to certify that they have not and will not use appropriated funds for lobbying purposes, and that they will disclose any lobbying activities conducted with non-federal funds. This certification is mandatory for all bidders responding to the Mental Health Professionals RFQ and serves as a prerequisite to contract award. Failure to provide accurate certification or disclosure of lobbying activities may result in disqualification from the procurement process or contract termination.

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Other files

File Type Posted
Terms-and-conditions-for-services~7.pdf PDF
Standard-form-contract~5.docx DOCX document
65DPS-S4025 - Request-for-Qualification~1.docx DOCX document
65DPS-S4025 - Cost Schedule.xlsx XLSX spreadsheet
65DPS-S4025 - Insurance Schedule - RFP.docx DOCX document
65DPS-S4025 - Vendor-Information-Response.pdf PDF
65DPS-S4025 - Reference-Questionnaire.docx DOCX document
Quote Instructions.pdf PDF

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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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