14-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- OPN2131278B1
- Issued by
- Broward County, Florida
About this file
This is a Lobbyist Registration Requirement Certification form for a competitive solicitation issued by Broward County, Florida, specifically for a Guardrail, Fence, and Accessories Furnish and Install contract for the Highway and Bridge Maintenance Division. The certification document outlines mandatory compliance requirements for vendors participating in the solicitation and must be submitted with the vendor's response or within three business days of the County's request. Vendors who fail to comply with the stated timeframes may be deemed nonresponsive and ineligible for contract award.
The form requires vendors to certify whether they have retained any lobbyist(s) to lobby in connection with the competitive solicitation. Vendors must select one of three options: confirming they have not retained a lobbyist but will promptly notify the County if they do so after submission; certifying that any retained lobbyist(s) have timely filed required registration or amended registration under the Broward County Lobbyist Registration Act (Sections 1-260 through 1-262, Broward County Code of Ordinances); or providing detailed information for all lobbyists retained, including names, firms, phone numbers, and email addresses. The form carries significant consequences for misrepresentation, as the County reserves the right to terminate any awarded contract for convenience if it later determines that a vendor's certification was erroneous and the error was willful or intentional. The form was last updated on September 9, 2024.
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Text version
LOBBYIST REGISTRATION REQUIREMENT CERTIFICATION
The completed form should be submitted with the solicitation response but must be submitted within three business days after County’s request. The Vendor may be deemed nonresponsive for failure to fully comply within stated timeframes.
The Vendor certifies that it understands if it has retained a lobbyist(s) to lobby in connection with a competitive solicitation, it shall be deemed nonresponsive unless the firm, in responding to the competitive solicitation, certifies that each lobbyist retained has timely filed the registration or amended registration required under the Broward County Lobbyist Registration Act, Sections 1-260 through 1-262, Broward County Code of Ordinances; and it understands that if, after awarding a contract in connection with the solicitation, the County learns that the certification was erroneous, and upon investigation determines that the error was willful or intentional on the part of the Vendor, the County may, on that basis, exercise any contractual right to terminate the contract for convenience.
The Vendor hereby certifies that: (select one)
☐ It has not retained a lobbyist(s) to lobby in connection with this competitive solicitation; however, if retained after the solicitation, the County will be promptly notified.
☐ It has retained a lobbyist(s) to lobby in connection with this competitive solicitation and certifies that each lobbyist retained has timely filed the registration or amended registration required under Broward County Lobbyist Registration Act, Sections 1-260 through 1-262, Broward County Code of Ordinances.
It is a requirement of this solicitation that the names of any and all lobbyists retained to lobby in connection with this solicitation be listed below:
| Name of Lobbyist: Click or tap here to enter text. |
| Name of Lobbyist: Click or tap here to enter text. |
| Lobbyist’s Firm: Click or tap here to enter text. |
| Lobbyist’s Firm: Click or tap here to enter text. |
| Phone: Click or tap here to enter text. |
| Phone: Click or tap here to enter text. |
| E-mail: Click or tap here to enter text. |
| E-mail: Click or tap here to enter text. |
Vendor Name: Click or tap here to enter text.
Signature: ______________________________ Printed Name: Click or tap here to enter text.
Title: Click or tap here to enter text.
Date: Click or tap to enter a date.
Form Date 9/9/24
File details come from the government source that posted it. Updated .