5-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- PNC2132196C1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Lobbyist Registration Requirement Certification form for a competitive solicitation issued by Broward County, Florida, specifically for the Replacement of Air Handler Units on the rooftop of Terminal 3 at Fort Lauderdale-Hollywood International Airport (FLL). The form is required to be submitted with the solicitation response, but must be completed within three business days after the County's request. Vendors must certify their compliance with Broward County Lobbyist Registration Act requirements (Sections 1-260 through 1-262, Broward County Code of Ordinances) regarding any retained lobbyists. The scope of work involves furnishing all labor, materials, equipment, services, and incidentals for the replacement of 22 rooftop HVAC air handler units. Vendor submittal must occur electronically through BPRO with receipt confirmation by the closing date and time, with questions due by a specified deadline.
Vendors deemed nonresponsive for failure to comply with certification requirements within stated timeframes may be rejected from consideration. The form requires vendors to select one of two options: either certifying that no lobbyists have been retained for this solicitation (with notification required if retained after submission), or certifying that all retained lobbyists have timely filed required registrations. If a retained lobbyist is claimed, complete identification information including name, firm, phone, and email must be listed. The County reserves the right to terminate any awarded contract for convenience if post-award investigation determines the certification was willfully or intentionally erroneous. County and State license requirements, Federal Aviation Administration (FAA) requirements, and bonding requirements apply to this solicitation. The form date is 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 .