Anti-Lobbying_Certification_Form.docx
DOCX document 43 KB Posted
- Attached to
- Heavy Equipment, Material Handling and Site Equipment - Rentals, Sales, Services, and Training
- Solicitation number
- RFP 26G-0723
- Issued by
- Maricopa County, Arizona
About this file
This Anti-Lobbying Certification Form is associated with Arizona's Mohave cooperative purchasing consortium's Request for Proposal 26G-0723 for heavy equipment, material handling, and site equipment rentals, sales, services, and training. The RFP is intended to serve Mohave's statewide membership of approximately 480 public agencies, with eligibility as of June 11, 2026, though additional members may join during the contract term. The solicitation accepts offerings from single or multiple offerors and will be awarded for an initial one-year term with four potential one-year extensions available through contract modification. Specifications are based on known acceptable manufacturers including Crown Electric, Raymond, Toyota, and Yale, but offerors may propose alternate solutions meeting the same quality and performance standards, with Mohave serving as the final arbiter of acceptance.
The form functions as a mandatory certification document requiring offerors to attest compliance with anti-lobbying regulations and restrictions. Members added during the contract period are responsible for determining whether their purchases would materially increase volumes specified in the original solicitation. Offerors should reference the RFP 26G-0723 Current Mohave Members list provided in the solicitation package and consult www.mesc.org for a current complete member roster. The certification establishes that the offeror and its representatives commit to adhering to applicable lobbying prohibitions as a condition of contract award and participation in this cooperative procurement vehicle.
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Other files
| File | Type | Posted |
|---|---|---|
| Heavy_Equipment,_Material_Handling_and_Site_Equipment_-_Rentals,_Sales,_Services,_and_Training.pdf | ||
| 26G_Heavy_Equipment_Pricing_WB.xlsx | XLSX spreadsheet | |
| 26G-0723_Specifications.pdf | ||
| 26G-0723_Specifications.docx | DOCX document | |
| Supporting_Contact_Documents.pdf | ||
| Supporting_Contact_Documents.docx | DOCX document | |
| RFP_Offer_and_Acceptance_Form.docx | DOCX document | |
| EDGAR_CERTIFICATION.pdf | ||
| USDA_Form_AD-1048.docx | DOCX document | |
| EDGAR_CERTIFICATION.docx | DOCX document | |
| RFP_Offer_and_Acceptance_Form.pdf | ||
| USDA_Form_AD-1048.pdf | ||
| 26G-0723_Current_Mohave_Member.pdf | ||
| Anti-Lobbying_Certification_Form.pdf |
Show all 14
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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 26G-0723
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