6-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Solicitation number
- PNC2130221C1
- Issued by
- Broward County, Florida
About this file
This is a Lobbyist Registration Requirement Certification form for Broward County related to the Broadview Park Drainage Green Infrastructure Project. The form must be submitted with the solicitation response or within three business days of the County's request, with failure to comply potentially resulting in a nonresponsive determination. The project involves furnishing all labor, materials, equipment, supervision, and incidentals for drainage green infrastructure work including roadway and drainage components, maintenance of traffic, resurfacing, pervious asphalt and concrete, pavement markings, barrier walls, stormwater pump station, and landscaping within the Broward County Municipal Service District.
The certification requires vendors to declare whether they have retained lobbyists in connection with this competitive solicitation, and if so, to provide complete registration information for each lobbyist under Broward County Code Sections 1-260 through 1-262. The project is funded by County Surtax and involves County/State license requirements, bonding requirements, and grant funding. Vendors must submit responses electronically through BPRO (Bonfire) and are encouraged to submit questions through the system by specified deadlines, with the County responding through the platform's messaging system.
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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 .