2-Lobbyist Registration Requirement Certification.docx

DOCX document 36 KB Posted

Attached to
North Perry Airport (HWO) - Lead Emmission Screening
Solicitation number
PNC2131343P1
Issued by
Broward County, Florida

About this file

This is a Lobbyist Registration Requirement Certification form required by Broward County, Florida for the North Perry Airport (HWO) Lead Emissions Screening solicitation. The form mandates that vendors disclose whether they have retained any lobbyists to lobby in connection with this competitive solicitation and certify compliance with the Broward County Lobbyist Registration Act (Sections 1-260 through 1-262, Broward County Code of Ordinances). Vendors must select one of two options: either certify that no lobbyists have been retained or provide complete information for all retained lobbyists, including names, firms, contact information, and confirmation that each has timely filed required registration or amended registration. The completed form must be submitted with the solicitation response, or if requested by the County, within three business days. Failure to fully comply within stated timeframes may result in the vendor being deemed nonresponsive.

The County reserves the right to terminate any awarded contract for convenience if it subsequently determines that a vendor's certification was erroneous and that the error was willful or intentional. Vendors are also required to promptly notify the County if they retain a lobbyist after the solicitation has been submitted. The form, dated 9/9/24, serves as a critical compliance document ensuring transparency in the procurement process and adherence to Broward County's lobbying disclosure requirements. Non-compliance with these certification requirements can result in contract termination or disqualification from consideration.

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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 .