Anti-Lobbying_Certification_Form.pdf

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Attached to
Contracted Staffing, Recruitment, Placement, and Personnel Services
Solicitation number
26P-1015
Issued by
Maricopa County, Arizona

About this file

This is an Anti-Lobbying Certification Form for RFP 26P-1015, issued by Mohave, a consortium of approximately 480 Arizona public agencies, in connection with a contracted staffing, recruitment, placement, and personnel services solicitation. The certification is required for all offerors participating in this Request for Proposal. Contracts will be awarded for an initial one-year term with four potential one-year extension options, allowing the contract to span up to five years total. The solicitation is open to current Mohave members as of September 14, 2026, with provisions allowing additional members to join during the contract term if they determine their purchases would not materially increase the original solicitation volume.

The Anti-Lobbying Certification Form mandates that offerors certify compliance with the Byrd Anti-Lobbying Amendment (31 U.S. Code § 1352) and federal regulations governing payments to influence federal transactions. Offerors must confirm that no federal appropriated funds have been or will be paid to influence federal officials in connection with the contract award. If non-federal funds are used for lobbying activities, offerors must submit OMB Form LLL disclosing such activities. All subcontract awards in excess of $100,000 require similar certification and disclosure. Violations of anti-lobbying provisions carry civil penalties ranging from $10,000 to $100,000 per violation. Submission of this certification is a prerequisite for contract eligibility.

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Anti-Lobbying Certification Form

RFP 26P-1015

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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