2-Lobbyist Registration Requirement Certification.docx

DOCX document 36 KB Posted

Attached to
Roofing and Waterproofing Consultant Services
Solicitation number
PNC2130470P1
Issued by
Broward County, Florida

About this file

This is a Lobbyist Registration Requirement Certification form for Broward County, Florida, applicable to the Roofing and Waterproofing Consultant Services competitive solicitation. 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 submitting a solicitation response. Vendors must complete and submit the certification form with their bid response, or within three business days of the County's request, or risk being deemed nonresponsive. The form requires vendors to select one of two certification options: either that the firm has not retained any lobbyist(s) in connection with the competitive solicitation (while committing to notify the County if any are retained after submission), or that the firm has retained lobbyist(s) and certifies that each has timely filed required registration or amended registration documents with Broward County.

The form includes mandatory fields for listing the names, firms, phone numbers, and email addresses of any retained lobbyists, along with the vendor name, authorized signatory information, title, and submission date. Vendors must acknowledge understanding that providing erroneous certification information, particularly if determined to be willful or intentional, may result in the County exercising its contractual right to terminate any awarded contract for convenience. The certification form is dated September 9, 2024, and serves as a compliance requirement for all vendors responding to this Broward County Facilities Management Division solicitation for roofing and waterproofing assessment and consultant services.

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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 .