4-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Attached to
- Broward County Judicial Court West Tower Repairs
- Solicitation number
- PNC2132739C1
- Issued by
- Broward County, Florida
About this file
This is a Lobbyist Registration Requirement Certification form required by Broward County, Florida in connection with the Judicial Court West Tower Repairs competitive solicitation. The certification document establishes mandatory compliance requirements for all vendors submitting proposals for the structural beam repair project at the Broward County Judicial Complex West Tower. Vendors must complete and submit the form with their solicitation response, or within three business days of the County's request, and failure to comply within the stated timeframe may result in the vendor being deemed nonresponsive. The form requires vendors to certify either that they have not retained any lobbyists for this solicitation or that any retained lobbyists have timely filed required registration under the Broward County Lobbyist Registration Act (Sections 1-260 through 1-262, Broward County Code of Ordinances).
The certification form mandates that vendors disclose the names, firms, phone numbers, and email addresses of any lobbyists retained to lobby in connection with the solicitation. Vendors must execute the certification by providing their company name, authorized signatory signature, printed name, title, and date. The County reserves the right to terminate any awarded contract for convenience if it subsequently determines that a vendor provided an erroneous certification that was willful or intentional. The form was last updated on September 9, 2024, and serves as a critical compliance document to ensure transparency and regulatory adherence in the competitive procurement process for the West Tower repairs project.
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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 .