5-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Attached to
- Upper-Level Roadway Improvements, Phase 3 at FLL
- Solicitation number
- PNC2132347C1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Lobbyist Registration Requirement Certification form required by Broward County, Florida for the Upper-Level Roadway Improvements, Phase 3 project at Fort Lauderdale-Hollywood International Airport. The certification must be completed and submitted with the solicitation response, or within three business days of the County's request, with failure to comply resulting in a vendor being deemed nonresponsive. The project involves furnishing all labor, materials, equipment, and services necessary to perform essential bridge maintenance and structural repairs along the upper and lower level roadway systems in front of Terminals 2, 3, and 4, including removing and replacing bridge expansion joints, repairing concrete spalls, sealing cracks, executing a bridge jacking plan, and replacing bridge bearings. Maintaining continuity of airport operations and ensuring uninterrupted pedestrian and vehicular access are critical throughout project execution.
Vendors must certify whether they have retained lobbyists to lobby in connection with this competitive solicitation and, if so, provide documentation that each lobbyist has timely filed required registration or amended registration under the Broward County Lobbyist Registration Act, Sections 1-260 through 1-262. Should a vendor fail to retain a lobbyist at solicitation time but retain one thereafter, the County must be promptly notified. Willful or intentional misrepresentation regarding lobbyist registration may result in contract termination for convenience. The solicitation requires vendors to meet County and State licensing requirements, Federal Aviation Administration requirements, and bonding requirements, with funding derived from state and federal sources. All solicitation questions must be submitted through BPRO by the specified deadline, and vendors are encouraged to submit all required and optional documentation electronically to enable timely and comprehensive review.
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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 .