Certification-regarding-lobbying~7.pdf
PDF 120 KB Posted
- Attached to
- National Guard - Landscaping Services
- Solicitation number
- 43ADG-S4059
- Issued by
- Nevada
About this file
This document is a Certification Regarding Lobbying form from the Nevada State Purchasing Division, Department of Administration, required for the National Guard Landscaping Services contract opportunity with the State of Nevada. The form serves as a mandatory certification that must be completed and submitted by vendors bidding on this federally-funded or federally-related procurement. The document requires the authorized signer to certify that no federal appropriated funds have been or will be paid to influence any officer or employee of a federal agency, Member of Congress, or congressional staff in connection with the award of the federal contract, grant, loan, or cooperative agreement. The form includes designated fields for the date, solicitation number, vendor name, authorized signer name, and signature, which must be completed prior to submission.
The certification constitutes a material representation of fact upon which reliance is placed in the transaction and is mandated by section 1352, U.S. Code. If any non-federal funds have been paid for lobbying activities, the vendor must complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities." The vendor is required to include identical certification language in all sub award documents at all tiers, including subcontracts and sub grants. Failure to file the required certification subjects the vendor to civil penalties ranging from $10,000 to $100,000 for each failure. This form applies to all sub recipients, who must certify and disclose accordingly, ensuring compliance throughout the entire contractor and subcontractor chain.
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Other files
| File | Type | Posted |
|---|---|---|
| 43ADG-S4059 - Request for Qualifications (2).docx | DOCX document | |
| 43ADG-S4059 -Vendor-Information-Response (1).pdf | ||
| 43ADG-S4059_Cost_Schedule.xlsx | XLSX spreadsheet | |
| 43ADG-S4059 RFQ Service Locations.xlsx | XLSX spreadsheet | |
| NVARNG Personal Security Questionnaire.pdf | ||
| 43ADG-S4059 Scope of Work.docx | DOCX document | |
| 43ADG-S4059 - NOM Standard Form Contract.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 43ADG-S4059-Insurance Requirements.docx | DOCX document | |
| 43ADG-S4059 RFQ_Vendor_Qualifications_Response_Form.xlsx | XLSX spreadsheet | |
| Terms-and-conditions-for-services~6.pdf | ||
| NVARNG Environmental Policy Statement.pdf |
Show all 12
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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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