3-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- PNC2132144P1
- Issued by
- Broward County, Florida
About this file
This is a Lobbyist Registration Requirement Certification form for Broward County, Florida, related to a competitive solicitation for Architectural and Engineering Consultant Services. The certification document establishes compliance requirements for vendors participating in the procurement process. Vendors must certify whether they have retained lobbyists to represent them in connection with this competitive solicitation and, if so, must provide evidence that each retained lobbyist has timely filed the required registration or amended registration under the Broward County Lobbyist Registration Act (Sections 1-260 through 1-262, Broward County Code of Ordinances). The completed certification form must be submitted with the solicitation response or within three business days of the County's request. Failure to fully comply within the stated timeframe may result in the vendor being deemed nonresponsive and ineligible for contract award.
The form requires vendors to select one of two certification options: either confirming they have not retained a lobbyist for this solicitation (with notification required if one is retained after submission), or confirming that any retained lobbyists have timely filed required registrations and providing detailed information including lobbyist names, firm affiliations, phone numbers, and email addresses. If a vendor submits an erroneous certification that is later determined to be willful or intentional, Broward County reserves the right to terminate any awarded contract for convenience. The form must be executed by an authorized representative of the vendor and includes fields for vendor name, signature, printed name, title, and certification date.
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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 .