5-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Attached to
- Deerfield Island ADA Dock
- Solicitation number
- PNC2132293C1
- Issued by
- Broward County, Florida
About this file
This is a Lobbyist Registration Requirement Certification form issued by Broward County, Florida in connection with the Deerfield Island ADA Dock competitive solicitation. The certification requires vendors to disclose whether they have retained any lobbyists to lobby in connection with this competitive solicitation and to certify compliance with the Broward County Lobbyist Registration Act (Sections 1-260 through 1-262, Broward County Code of Ordinances). Vendors must complete and submit the form with their solicitation response, or within three business days of the County's request. The Deerfield Island ADA Dock project involves installation of an aluminum floating dock and gangway, concrete piling, concrete abutment, fire line with hose cabinet, and related appurtenances at 1720 Deerfield Island Park, Deerfield Beach, Florida. The floating dock will be supplied and delivered by the Parks and Recreation Division; the contractor is responsible for supplying, installing, and constructing all other project components. All solicitation responses must be submitted electronically through BPRO by the specified closing date and time.
Vendors must select one of three certification options: confirming no lobbyists have been retained; confirming lobbyists have been retained and have filed required registrations; or providing detailed information for any retained lobbyists including names, firms, phone numbers, and email addresses. Failure to comply with the certification requirements or to submit the completed form within the stated timeframes may result in the vendor being deemed nonresponsive. Additionally, if the County determines after contract award that a certification was willfully or intentionally erroneous, it reserves the right to terminate the contract for convenience. The form was last updated on September 9, 2024.
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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 .