3-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- TRN2131774P1
- Issued by
- Broward County, Florida
About this file
This is a Lobbyist Registration Requirement Certification form for the Broward County, Florida competitive solicitation for Consulting Services for Bus Rapid Transit (BRT) Activities. The form requires vendors responding to this solicitation to certify their compliance with Broward County's lobbyist registration requirements under the Broward County Lobbyist Registration Act (Sections 1-260 through 1-262, Broward County Code of Ordinances). Vendors must select one of three options: confirm they have not retained lobbyists in connection with this solicitation (though they must notify the County if they retain lobbyists after submission), certify that any retained lobbyists have filed required registrations, or provide detailed information for each retained lobbyist including name, firm, phone number, and email address. The form must be completed and submitted with the solicitation response or within three business days of the County's request; failure to comply within the stated timeframe may result in the vendor being deemed nonresponsive.
Vendors must understand that providing erroneous certification—particularly if determined to be willful or intentional—may result in contract termination for convenience at the County's discretion, even after contract award. The form requires certification by an authorized representative of the vendor, including the vendor's name, signature, printed name, title, and date. This certification requirement applies to all vendors competing for the BRT consulting services contract, which seeks to award up to three firms to provide professional, technical, and project management expertise for the Bus Rapid Transit Program under Broward County Transportation Department's Premium Mobility (PREMO) Program.
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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 .