Certification-regarding-lobbying~8.pdf

PDF 120 KB Posted

Attached to
UK/Ireland Representation Office
Solicitation number
10TCA-S3688
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, in Carson City, Nevada. The document serves as a federal compliance certification for contractors and vendors engaged in state and local contract opportunities that involve federal appropriated funds.

The certification requires the undersigned to affirm that no federal appropriated funds have been paid or will be paid to influence federal agency officers, members of Congress, or congressional employees in connection with the awarding of federal contracts, grants, loans, or cooperative agreements. If non-federal funds have been or will be used for lobbying activities related to the federal transaction, the certifying party must complete and submit Standard Form-LLL, Disclosure of Lobbying Activities, in accordance with applicable instructions. The certification must be included in all award documents for subcontractors and sub-recipients at all tiers, who must also certify and disclose accordingly. The document includes fields for the solicitation number, vendor name, authorized signer name, authorized signature, and date of execution.

Submission of this certification is mandatory as a prerequisite for entering into the transaction under section 1352, U.S. Code. Failure to file the required certification subjects the responsible party to civil penalties ranging from $10,000 to $100,000 for each failure. The certification is considered a material representation of fact upon which reliance was placed when the transaction was made or entered into.

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Insurance Schedule~6.pdf PDF
10TCA-S3688 - Cost Schedule - Final.xlsx XLSX spreadsheet
10TCA-S3688 - request-for-proposals.docx DOCX document
10TCA-S3688 - Vendor-Information-Response.pdf PDF
10TCA-S3688 - reference-questionnaire.docx DOCX document
Standard-form-contract~7.docx DOCX document
Terms-and-conditions-for-services~9.pdf PDF
Quote Instructions.pdf PDF
10TCA-S3688 - Questions and Answers.docx DOCX document

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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:

File details come from the government source that posted it. Updated .