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 Anti-Lobbying Certification Form is a mandatory compliance document required for the Mohave Educational Services Cooperative's RFP 26D-0305 for bread and baked goods procurement serving approximately 480 public agencies across Arizona. The Request for Proposal, posted on January 28, 2026, solicits vendors to supply bread and baked goods including hamburger buns, hot dog buns, whole wheat sandwich bread, sourdough, French rolls, and Texas toast. All bread products must be 51 percent whole grain rich and processed in the United States. A pre-proposal conference is 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. Products must comply with the Healthy, Hunger-Free Kids Act of 2010 and Arizona Revised Statutes 15-242.01, with weekly delivery required between 6:00 a.m. and 2:00 p.m., Monday through Friday, in manufacturer's original packaging with a minimum seven-day shelf life from delivery.
Offerors must certify that no Federal appropriated funds have been or will be paid to influence federal transactions in connection with this contract. If non-Federal funds have been used for lobbying purposes related to this solicitation, vendors must complete and submit OMB standard form LLL, Disclosure of Lobbying Activities. All subcontract awards exceeding $100,000 must include identical language and disclosure requirements. The certification must be signed and submitted with the proposal. Violations of anti-lobbying prohibitions result in civil penalties ranging from $10,000 to $100,000 for each violation. Evaluation criteria include pricing (30 points), offer and acceptance and terms and conditions (25 points), primary vendor information (20 points), supporting contract documents (15 points), and additional information (10 points). Vendors must provide evidence of current insurance with a minimum comprehensive general liability aggregate of $2,000,000, current certificate of insurance, IRS W-9, financial information, and pricing in unlocked Excel format with all prices including Mohave's 1% administration fee. No incumbent vendors are identified, and all offerors must certify compliance with federal requirements including Executive Order 11246, the Clean Air Act and Clean Water Act, Buy American provisions, E-Verify employment verification, and USDA civil rights compliance.
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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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