6-Lobbyist Registration Requirement Certification.docx
DOCX document 36 KB Posted
- Attached to
- HBMD Administration Building Expansion
- Solicitation number
- PNC2130563C1
- Issued by
- Florida
About this file
This is a lobbyist registration requirement certification form for Broward County, Florida, related to the Highway Bridge Maintenance Division (HBMD) Administration Building Expansion and Renovation project. The form must be submitted with the solicitation response or within three business days of the County's request, and vendors may be deemed nonresponsive for failure to comply within stated timeframes. The project involves a fixed contract for building expansion and renovation work with requirements including county/state licensing, bonding, mandatory site visits, and County Business Enterprise (CBE) goal participation. Vendors must submit responses electronically through BPRO (Broward Procurement) and are encouraged to submit questions for clarification by the specified due date.
The certification requires vendors to declare whether they have retained lobbyists in connection with the competitive solicitation, and if so, they must certify that each lobbyist has filed the required registration under Broward County Lobbyist Registration Act Sections 1-260 through 1-262. Vendors who have retained lobbyists must provide detailed information including names, firms, phone numbers, and email addresses of all lobbyists involved. The County reserves the right to terminate contracts if it discovers that certifications were willfully or intentionally erroneous, and vendors must promptly notify the County if they retain lobbyists after the solicitation period.
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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 .