Certification-regarding-lobbying~9.pdf
PDF 120 KB Posted
- Attached to
- Actuarial Services State and local contract opportunity
- Solicitation number
- 40DHHS-S3339
- Issued by
- Clark County, Nevada
About this file
This is a Certification Regarding Lobbying document from the Nevada State Purchasing Division, Department of Administration, located in Carson City, Nevada. The form is a standard federal certification that requires vendors to disclose and certify that no federal appropriated funds have been or will be paid to influence or attempt to influence government officials in connection with the awarding of federal contracts, grants, loans, or cooperative agreements.
The document outlines three key certification points: (1) confirming no federal funds have been used to influence government officials, (2) requiring disclosure of any non-federal funds used for lobbying activities using Standard Form-LLL, and (3) mandating that subcontractors and sub-recipients include similar language in their award documents. The certification is a prerequisite for entering into transactions, with potential civil penalties ranging from $10,000 to $100,000 for failures to comply with the required disclosures. The form provides spaces for a vendor to enter their name, solicitation number, date, and authorized signature to complete the certification process.
View the file
Other files for this state and local contract opportunity
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|---|---|---|
| 40DHHS-S3339 - BAA Global DHHS August 2024.docx | DOCX document | |
| Standard-form-contract~9.docx | DOCX document | |
| 40DHHS-S3339 - Cost Schedules MCO-DBA Specialty MCO NEMT~1.xlsx | XLSX spreadsheet | |
| 40DHHS-S3339 -Reference-Questionnaire-2025-05-07~1.pdf | ||
| 40DHHS-S3339-RFP Actuarial Services.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 40DHHS-S3339 - DHCFP Business Continuity Agreement_v2.docx | DOCX document | |
| 40DHHS-S3339 - Scopes of Work.docx | DOCX document | |
| Vendor Information Response.pdf | ||
| Questions - Answers~2.xlsx | XLSX spreadsheet | |
| 40DHHS-S3339 - Caseload Projections with Retros.xlsx | XLSX spreadsheet | |
| 40DHHS-S3339 - Insurance Schedule - RFP.pdf | ||
| Terms-and-conditions-for-services~9.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: |
File details come from the government source that posted it. Updated .