5-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Attached to
- Separated Shared Use Path - Phase 1
- Solicitation number
- PNC2132220C1
- Issued by
- Florida
About this file
This is a Lobbyist Registration Requirement Certification form issued by Broward County, Florida, in connection with a competitive solicitation for a Separated Shared Use Path - Phase 1 project at North Perry Airport for the County's Aviation Department. The solicitation is for development and construction of a separated shared use path in accordance with specified requirements and specifications. Vendors must submit their solicitation responses electronically through BPRO by the closing date and time, with the County providing a specified timeframe for vendors to submit questions and seek clarification. All submittal documentation, including both required and optional items, is encouraged to be provided at the time of submission to enable timely and comprehensive review. The solicitation requires vendors to comply with County and State licensing requirements and bonding requirements.
Vendors responding to this solicitation must complete and submit the Lobbyist Registration Requirement Certification form either with their solicitation response or within three business days of the County's request, with failure to comply resulting in a nonresponsive designation. Vendors must certify whether they have retained a lobbyist in connection with the competitive solicitation and, if so, provide the names, contact information, and firm details for all lobbyists who have timely filed required registration or amended registration under the Broward County Lobbyist Registration Act. If a vendor is found to have made an erroneous or willfully false certification after contract award, the County 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 .