2-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- PNC2131324P1
- Issued by
- Broward County, Florida
About this file
This is a Lobbyist Registration Requirement Certification form issued by Broward County, Florida, for use in connection with competitive solicitations. The certification applies to the Airport Safety Assessment solicitation for North Perry Airport (HWO) issued by the Broward County Aviation Department. Vendors responding to this solicitation must complete and submit this certification form either with their initial response or within three business days of the County's request. Failure to fully comply with submission timeframes may result in the vendor being deemed nonresponsive. The form requires vendors to declare whether they have retained any lobbyist(s) to lobby in connection with this competitive solicitation and, if so, to certify that each retained lobbyist has 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).
Vendors must select one of two certification options: either confirming that no lobbyist has been retained (with a commitment to notify the County if one is retained after solicitation), or confirming that any retained lobbyist(s) have complied with registration requirements. If the latter applies, vendors must provide complete information for each lobbyist, including name, firm, phone number, and email address. The County reserves the right to terminate any resulting contract for convenience if it later determines that the certification was erroneous and that the error was willful or intentional on the part of the vendor. 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 .