This image is a certification form related to lobbying compliance requirements for the Arizona Department of Economic Security (ADES) pest control services procurement. The document serves as an attestation that bidders and contractors must complete to certify their compliance with federal lobbying restrictions and disclosure requirements. The form requires authorized representatives to certify that neither they nor their organizations have engaged in lobbying activities using federally funded resources, or if such activities occurred, that proper disclosures have been made in accordance with applicable federal regulations. The certification must be signed and dated by an authorized official prior to contract award, and false certifications may result in civil penalties and contract termination.
This certification form is a standard prerequisite document in federal and federally-funded procurement processes designed to ensure transparency and prevent improper use of government resources for lobbying purposes. Bidders responding to the ADES pest control services opportunity must complete and submit this certification as part of their proposal package. The document establishes the contractor's acknowledgment of lobbying restrictions and serves as a legal attestation of compliance with applicable regulations governing the use of federal funds in state and local contracting.