5-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- PNC2132023C1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Lobbyist Registration Requirement Certification form issued by Broward County, Florida in connection with a competitive solicitation for the Broward County Health Department Clinic HVAC and Building Automation System (BAS) Replacement Project. The project, located at 2421 SW 6th Avenue in Fort Lauderdale, Florida, involves the furnishing of all labor, materials, equipment, and services for replacing the facility's HVAC systems on the first and second floors, including removal and reinstallation of interior finishes, roof work limited to replacement of an existing chiller and exhaust fans, and associated ceiling work for Variable Air Volume (VAV) box replacement. Vendors must comply with mandatory site visit requirements, County/State licensing requirements, and bonding requirements. The County strongly encourages vendors to submit all requested documentation, including optional items identified in BPRO, to enable timely and comprehensive review. Questions regarding solicitation requirements must be submitted through BPRO by the specified questions due date.
The certification form requires vendors to declare whether they have retained any lobbyist(s) to lobby in connection with this competitive solicitation. If lobbyists have been retained, vendors must certify that each lobbyist has timely filed the required registration or amended registration under the Broward County Lobbyist Registration Act (Sections 1-260 through 1-262 of the Broward County Code of Ordinances), and must provide the names, firms, phone numbers, and email addresses of all retained lobbyists. The completed form must be submitted with the solicitation response but must be provided within three business days after the County's request, with failure to comply resulting in a determination of nonresponsiveness. The County also reserves the right to terminate a contract for convenience if it determines that any certification was made willfully or intentionally in error after contract award.
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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 .