26W-1204_Anti-Lobbying_Certification_Form.docx
DOCX document 46 KB Posted
- Attached to
- Food, Food Distribution, and Related Supplies
- Solicitation number
- 26W-1204
- Issued by
- Maricopa County, Arizona
About this file
This is an Anti-Lobbying Certification Form required for the Food, Food Distribution, and Related Supplies contract opportunity (RFP 26W-1204) managed by Mohave on behalf of ASPIN in Arizona. The certification applies to a statewide food and related supplies distribution contract that will serve more than 770 ASPIN member locations across Arizona. The contract will be awarded for an initial one-year term with four optional one-year extensions. Offerors are permitted to propose alternate solutions and manufacturers that meet the quality and performance specifications outlined in the scope of work, with ASPIN/Mohave serving as the final judge on acceptance of any alternatives. The contract aims to establish relationships with qualified and experienced distributors to serve the current 150 ASPIN members in Arizona and accommodate additional members that may be added during the contract term.
The Anti-Lobbying Certification Form certifies compliance with the Byrd Anti-Lobbying Amendment (31 U.S. Code § 1352) and Federal Acquisition Regulation 52.203-11. Offerors must certify that no federal appropriated funds have been or will be paid to influence federal transactions related to this contract award. Any non-federal funds used for lobbying activities must be disclosed on OMB Form LLL. All subcontractors receiving awards exceeding $100,000 must similarly certify and disclose. Violations of these provisions carry civil penalties ranging from $10,000 to $100,000 per violation. This certification is a mandatory prerequisite for contract eligibility and must be included in all subcontract award documents.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Food,_Food_Distribution,_and_Related_Supplies.pdf | ||
| 26W_ASPIN_USDA_Foods_End_Products.xlsx | XLSX spreadsheet | |
| 26W-1204_Contact_information_for_Firm.pdf | ||
| 26W-1204_Contact_information_for_Firm.docx | DOCX document | |
| 26W_ASPIN_Food-Supplies.xlsx | XLSX spreadsheet | |
| 26W-1204_Specifications.pdf | ||
| 26W-1204_Specifications.docx | DOCX document | |
| RFP_26W-1204_Current_ASPIN_Members.pdf | ||
| 26W-1204_USDA_Form_AD-1048.pdf | ||
| 26W-1204_USDA_Form_AD-1048.docx | DOCX document | |
| 26W-1204_Offer_and_Acceptance_Form.pdf | ||
| 26W-1204_Offer_and_Acceptance_Form.docx | DOCX document | |
| 26W-1204_EDGAR_CERTIFICATION.pdf | ||
| 26W-1204_EDGAR_CERTIFICATION.docx | DOCX document | |
| 26W-1204_Anti-Lobbying_Certification_Form.pdf |
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Text version
Anti-Lobbying Certification Form
ANTI-LOBBYING CERTIFICATION
Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions In accordance with the Byrd Anti-Lobbying Amendment 31 U.S. Code § 1352, 2 CFR § 200.450 and Federal Acquisition Regulation 52.203-11:
(A) The definitions and prohibitions contained in the clause, at FAR 52.203-12, Limitation on Payments to Influence Certain Federal Transactions, included in this solicitation, are hereby incorporated by reference in paragraph (B) of this certification.
(B) The offeror, by signing its offer, hereby certifies to the best of his/her knowledge and belief that:
(1) No Federal appropriated funds have been paid, or will 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 on his or her behalf in connection with the awarding of this 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 Federal appropriated funds have been paid, or will 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 on his or her behalf in connection with this solicitation, the offeror shall complete and submit, with its offer, OMB standard form LLL, Disclosure of Lobbying Activities, to the Contracting Officer in accordance with its instructions; and
(3) The undersigned shall require that the language of this certification be included in the award documents for all subcontract awards at all tiers and require that all recipients of subcontract awards in excess of $100,000 shall certify and disclose accordingly.
(C) Submission of this certification and disclosure is a prerequisite for making or entering into this contract imposed by 31 U.S. Code § 1352. Any person who makes expenditure prohibited under this provision or who fails to file or amend the disclosure form to be filed or amended by this provision shall be subject to a civil penalty of not less than $10,000, and not more than $100,000, for each such failure.
(Firm Name)
(Signature)
(Print Name)
(Print Title)
(Date Certified)
RFP 26W-1204
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