3-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- PNC2131603P1
- Issued by
- Broward County, Florida
About this file
This is a Lobbyist Registration Requirement Certification form for Broward County, Florida, applicable to the Consulting Services for Cruise Terminal Parking Structure(s) solicitation at Port Everglades. The certification requires vendors responding to this competitive solicitation to disclose whether they have retained any lobbyist(s) to lobby in connection with the opportunity and, if so, to certify that each 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 complete and submit the form with their solicitation response or within three business days of the County's request; failure to fully comply within stated timeframes may result in the vendor being deemed nonresponsive. If applicable, vendors must list the names, firms, phone numbers, and email addresses of all retained lobbyists.
The form establishes that vendors certify their understanding that providing erroneous information regarding lobbyist retention, particularly if determined to be willful or intentional, may result in the County exercising contractual rights to terminate the contract for convenience after award. Vendors must select one of two certification options: either that no lobbyist(s) have been retained (with notification required if one is retained after solicitation submission), or that lobbyist(s) have been retained and proper registration has been timely filed. The form was last updated September 9, 2024, and requires signature, printed name, title, and date from an authorized vendor representative.
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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 .