Anti-Lobbying_Certification_Form.pdf
PDF 88 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 is an Anti-Lobbying Certification Form for RFP 26G-0723, issued by Mohave (a consortium representing approximately 480 public agencies across Arizona) for heavy equipment, material handling, and site equipment rentals, sales, services, and training. The solicitation is structured as a statewide cooperative procurement designed to achieve economies of scale for member agencies. The contract will be awarded for an initial one-year term with four potential one-year extension options. Offerors may propose alternate solutions and manufacturers that meet specified quality and performance characteristics, with Mohave retaining final judgment on acceptance of alternative solutions. Current eligible members as of June 11, 2026, are identified in a separate attachment, though additional members may be added during the contract term.
The Anti-Lobbying Certification Form establishes mandatory compliance requirements under 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 contract award. Any use of non-federal funds for lobbying activities requires submission of OMB Form LLL (Disclosure of Lobbying Activities). All subcontractors receiving awards in excess of $100,000 must comply with identical certification and disclosure requirements. Failure to comply 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.
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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.docx | DOCX document |
Show all 14
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Text version
Anti-Lobbying Certification Form
RFP 26G-0723
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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