26W-1204_Anti-Lobbying_Certification_Form.pdf
PDF 79 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 for RFP 26W-1204, issued by Mohave on behalf of ASPIN (ASPIN/Mohave) in Arizona. The certification form requires offerors to comply with the Byrd Anti-Lobbying Amendment (31 U.S. Code § 1352) and related federal regulations. The underlying contract opportunity seeks qualified distributors to provide food, food distribution, and related supplies to ASPIN members throughout Arizona, with delivery required to more than 770 member locations across the state. The initial contract term is one year with four potential one-year extensions available. Offerors are permitted to propose alternate solutions, including alternate manufacturers, provided they meet the specified quality and performance characteristics; ASPIN/Mohave retains final authority to accept or reject any alternate solutions.
The certification form mandates that no federal appropriated funds shall be paid to influence federal transactions related to contract award, and offerors must disclose any non-federal funds used for lobbying activities using OMB Form LLL. All subcontract awards exceeding $100,000 require similar certification and disclosure from subcontractors. Failure to comply with these anti-lobbying requirements subjects violators to civil penalties ranging from $10,000 to $100,000 for each violation. Submission of this certification is a prerequisite for contract eligibility. No pricing information, set-asides, or specific funding amounts are detailed in the certification form itself.
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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.docx | DOCX document |
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Text version
Anti-Lobbying Certification Form
RFP 26W-1204
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)
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