2-Lobbyist Registration Requirement Certification.docx

DOCX document 36 KB Posted

Attached to
Shuttle Bus and Other Transportation Services for Fort Lauderdale-Hollywood International Airport
Solicitation number
GEN2129760P1
Issued by
Broward County, Fort Lauderdale City, Florida

About this file

This is a Lobbyist Registration Requirement Certification form required by Broward County, Florida for vendors responding to the Shuttle Bus and Other Transportation Services solicitation for Fort Lauderdale-Hollywood International Airport. Vendors must complete and submit this certification with their solicitation response, with submission required within three business days of the County's request. The certification requires vendors to disclose whether they have retained any lobbyists to represent their interests in connection with this competitive solicitation and, if applicable, to provide the names, firms, phone numbers, and email addresses of all retained lobbyists.

Vendors must certify either that they have not retained a lobbyist(s) in connection with the solicitation or that any retained lobbyists have timely filed the required registration or amended registration under the Broward County Lobbyist Registration Act. Failure to fully comply with certification requirements 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 the vendor's certification was willfully or intentionally erroneous. 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 .