2-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- PNC2131299P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Lobbyist Registration Requirement Certification form for Broward County, Florida, related to a competitive solicitation for Environmental Planning and Consulting Services at Fort Lauderdale-Hollywood International Airport and North Perry Airport. The form requires vendors to certify their compliance with the Broward County Lobbyist Registration Act (Sections 1-260 through 1-262, Broward County Code of Ordinances) prior to contract award. Vendors must indicate whether they have retained a lobbyist in connection with the solicitation and, if applicable, provide the names, firms, phone numbers, and email addresses of all retained lobbyists. The completed certification must be submitted with the solicitation response or within three business days of the County's request, and vendors may be deemed nonresponsive for failure to comply within the stated timeframe.
Vendors are required to select one of two certification options: either confirming that no lobbyist has been retained (with notification required if one is retained after solicitation), or confirming that any retained lobbyist has timely filed required registration or amended registration documentation. The County reserves the right to terminate a contract for convenience if, after award, it determines that a vendor's certification was willfully or intentionally erroneous. The form must be signed and dated by an authorized representative of the vendor, including printed name and title.
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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 .