2-Lobbyist Registration Requirement Certification.docx

DOCX document 36 KB Posted

Attached to
Management of Airport Rental Car Center Fueling Facility
Solicitation number
GEN2129832P1
Issued by
Broward County, Fort Lauderdale City, Florida

About this file

This is a Lobbyist Registration Requirement Certification form for Broward County, Florida, used in connection with competitive solicitations for state and local contract opportunities. The form requires vendors responding to solicitations to certify their status regarding lobbyist retention and compliance with Broward County's Lobbyist Registration Act (Sections 1-260 through 1-262, Broward County Code of Ordinances). Vendors must select one of two certification options: either certifying that they have not retained a lobbyist for the competitive solicitation, or certifying that they have retained lobbyist(s) and that each has timely filed required registration or amended registration under County ordinance. The form applies to the Management of Airport Rental Car Center Fueling Facility solicitation at the Fort Lauderdale-Hollywood International Airport, which seeks a qualified firm for the management, operation, and maintenance of the facility.

The completed certification form must be submitted with the solicitation response or within three business days of the County's request, with vendors deemed nonresponsive for failure to comply within stated timeframes. If vendors have retained lobbyists, they are required to list the names, firms, phone numbers, and email addresses of all such lobbyists on the form. The County reserves the right to terminate any awarded contract for convenience if it determines that a vendor's certification was erroneous and that the error was willful or intentional. The form was last updated on September 9, 2024, and relates to a solicitation that includes additional requirements such as Living Wage provisions, bonding requirements, Title VI compliance, and procurement preferences for Small Business Enterprises and County Business Enterprises.

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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 .