4-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- TRN2132636C1
- Issued by
- Broward County, Florida
About this file
This is a Lobbyist Registration Requirement Certification form for Broward County, Florida, applicable to the Royal Palm Boulevard widening and resurfacing project in Coral Springs. The certification requires vendors submitting competitive solicitation responses to disclose whether they have retained any lobbyists to lobby in connection with the solicitation. Vendors must complete and submit the form with their solicitation response or within three business days of the County's request; failure to comply within the specified timeframe may result in the vendor being deemed nonresponsive. The project involves furnishing labor, materials, equipment, and services for roadway widening, milling, resurfacing, median construction, sidewalk replacement, ADA curb ramp upgrades, signing and pavement marking upgrades, pedestrian crossing signal upgrades, and mast arm installation.
Vendors must certify either that they have not retained a lobbyist in connection with the solicitation or that any retained lobbyist has timely filed required registration under the Broward County Lobbyist Registration Act, Sections 1-260 through 1-262. If a vendor retains a lobbyist after submission, the County must be promptly notified. The form requires vendors to list the names, firms, phone numbers, and email addresses of all retained lobbyists. The County reserves the right to terminate a contract for convenience if it determines after contract award that the vendor's certification was willfully or intentionally erroneous. The project is funded through Federal Highway Administration (FHWA) sources via the State of Florida Department of Transportation (FDOT) and Broward County Transportation Surtax Funds. Vendors must submit responses electronically through BPRO and possess required County/State licenses and bonding.
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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 .