3-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- BLD2131742P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Lobbyist Registration Requirement Certification form for Broward County, Florida, related to a competitive solicitation for an Artificial Intelligence-Enabled System for Employee Screening X-Ray Machines at Fort Lauderdale-Hollywood International Airport. The certification must be submitted with the vendor's solicitation response or within three business days of the County's request, with failure to comply resulting in a nonresponsive designation. Vendors must certify either that they have not retained any lobbyists in connection with the solicitation or that any retained lobbyists have timely filed required registrations under the Broward County Lobbyist Registration Act (Sections 1-260 through 1-262, Broward County Code of Ordinances). If a vendor has retained lobbyists, the form requires disclosure of the lobbyist names, firms, phone numbers, and email addresses.
The form serves as a compliance mechanism to ensure transparency in lobbying activities related to the competitive solicitation process. Vendors must complete the certification accurately, as the County reserves the right to terminate any resulting contract for convenience if an investigation determines that a certification was erroneous, willful, or intentional on the part of the vendor. Additionally, vendors are required to notify the County promptly if they retain a lobbyist after submitting their response. The form was last updated on September 9, 2024, and requires the vendor representative's signature, printed name, title, and date of execution.
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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 .