RFP_26D-0305_Anti-Lobbying_Form.docx
DOCX document 44 KB Posted
- Attached to
- Bread and Baked Goods State and local contract opportunity
- Solicitation number
- RFP 26D-0305
- Issued by
- Maricopa County, Arizona
About this file
This is an Anti-Lobbying Certification Form for RFP 26D-0305 issued by Mohave Educational Services Cooperative, an Arizona-based consortium serving approximately 480 public agencies statewide. The RFP solicits proposals for bread and baked goods products, including hamburger buns, hot dog buns, whole wheat sandwich bread, sourdough, French rolls, and Texas toast, with all bread products required to be 51 percent whole grain rich and processed in the United States. A pre-proposal conference was scheduled for February 9, 2026, at 10:00 a.m. Arizona time, with a deadline for submitting questions by February 24, 2026, and a proposal response deadline of March 5, 2026, at 3:00 p.m. The contract will be awarded for an initial one-year term with four potential one-year extensions. Vendors must deliver products weekly between 6:00 a.m. and 2:00 p.m., Monday through Friday, in manufacturer's original undamaged packaging with a minimum shelf life of seven days from delivery date.
The certification form requires offerors to certify compliance with the Byrd Anti-Lobbying Amendment (31 U.S. Code § 1352), confirming that no Federal appropriated funds have been or will be paid to influence Federal transactions related to this contract award. Offerors must disclose any non-Federal funds used for lobbying activities by submitting OMB Standard Form LLL with their proposal. All subcontract awards exceeding $100,000 must include identical anti-lobbying language and certifications. Violations of anti-lobbying provisions result in civil penalties ranging from $10,000 to $100,000 for each failure. Vendors must also provide evidence of comprehensive general liability insurance with a minimum aggregate of $2,000,000, current IRS W-9, financial information, and pricing in unlocked Excel format with all prices including Mohave's 1% administration fee. No pricing listed as "call for quote" or undefined terms is acceptable. Additional mandatory certifications include Executive Order 11246 compliance, Clean Air Act and Clean Water Act compliance, Buy American provisions, E-Verify employment verification, and Contract Work Hours and Safety Standards Act compliance for contracts exceeding $100,000.
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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 26D-0305
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