5-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Attached to
- BSO Stockade Membrane Structures Demolition
- Solicitation number
- PNC2131658C1
- Issued by
- Florida
About this file
This is a Lobbyist Registration Requirement Certification form for Broward County, Florida, applicable to vendors responding to the BSO Stockade Membrane Structures Demolition competitive solicitation. The certification requires vendors to disclose whether they have retained any lobbyists to lobby in connection with this competitive solicitation and to ensure compliance with the Broward County Lobbyist Registration Act, Sections 1-260 through 1-262, Broward County Code of Ordinances. Vendors must complete and submit this form with their solicitation response, or within three business days of the County's request. The form provides three certification options: confirming no lobbyist has been retained, confirming that retained lobbyists have timely filed required registrations, or listing all lobbyists retained for this solicitation with their names, firms, phone numbers, and email addresses.
Failure to fully comply with the submission requirements and timeframes may result in the vendor being deemed nonresponsive and ineligible for award. The County reserves the right to terminate any awarded contract for convenience if it later discovers that a vendor's certification was erroneous and determines the error was willful or intentional. Vendors are also required to promptly notify the County if they retain a lobbyist after submitting their solicitation response. The form was last updated on September 9, 2024, and requires the vendor's authorized representative to sign and date the certification.
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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 .