2-Lobbyist Registration Requirement Certification
36 KB Posted
- Solicitation number
- GEN2130575P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Lobbyist Registration Requirement Certification form issued by Broward County, Florida, in connection with a competitive solicitation for Parking Management Services at Fort Lauderdale-Hollywood International Airport. The certification is required to be submitted with the solicitation response, or within three business days of the County's request, with failure to comply resulting in a nonresponsive designation. Vendors must certify their lobbyist engagement status and confirm that any retained lobbyists have timely filed required registrations under the Broward County Lobbyist Registration Act (Sections 1-260 through 1-262, Broward County Code of Ordinances). Vendors must select one of two certification options: either that no lobbyists have been retained for this solicitation, or that all retained lobbyists have completed required registrations.
The form requires vendors to provide detailed information for any retained lobbyists, including name, firm affiliation, phone number, and email address. Vendors must also certify their own identity by providing company name, authorized signature, printed name, title, and date. The County reserves the right to terminate any awarded contract for convenience if it subsequently determines that a vendor's certification was willfully or intentionally erroneous. The form is dated September 9, 2024, and represents a standard compliance requirement for Broward County competitive solicitations involving lobbyist activity.
Text of this file
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
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