Anti-Lobbying_Certification_Form_26C.docx
DOCX document 45 KB Posted
- Attached to
- Milk and Dairy
- Solicitation number
- 26C-0320
- Issued by
- Maricopa County, Arizona
About this file
This is an Anti-Lobbying Certification Form required for a Milk and Dairy contract solicitation (RFP 26C-0320) issued by Mohave, a consortium of Arizona public agencies. The solicitation seeks sources for milk and dairy products for Mohave's statewide membership of approximately 480 public agencies as of March 20, 2026, with the potential for additional members to join during the contract term. The contract will be awarded for an initial one-year term with four potential one-year extensions. The scope of work and specifications define quality and characteristics of desired milk and dairy products based on known acceptable manufacturers and brands, though offerors may propose alternate solutions and manufacturers that meet the specified quality and performance characteristics, with Mohave serving as the final judge on acceptance of any alternates.
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. If non-federal funds are used for lobbying activities, offerors must submit OMB Form LLL, Disclosure of Lobbying Activities. All subcontract awards in excess of $100,000 must include similar certification and disclosure requirements. Failure to comply with these provisions subjects violators to civil penalties ranging from $10,000 to $100,000 for each failure. Submission of this certification is a prerequisite for contract award.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Milk_and_Dairy_(Addendum_#1_Revision).pdf | ||
| 26C_Milk_and_Dairy_Pricing_Workbook.xlsx | XLSX spreadsheet | |
| 26C_Milk_and_Dairy_Specifications.docx | DOCX document | |
| USDA_Form_AD-1048.docx | DOCX document | |
| _Current_Mohave_Members.pdf | ||
| Contact_information_for_firm_26C.docx | DOCX document | |
| Offer_and_Acceptance_Form_26C.docx | DOCX document | |
| EDGAR_CERTIFICATION_26C.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 26C-0320
image1.png
File details come from the government source that posted it. Updated .