Form_4_Lobbying_Affidavit.pdf
PDF 104 KB Posted
- Attached to
- Landscaping Services at Page Field
- Solicitation number
- 26-0080LB
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This is a Lobbying Affidavit form (Form 4) required for RFB 26-0080LB, a landscaping services procurement for Page Field Airport administered by the Lee County Board of Port Commissioners and the Lee County Port Authority in Florida. The form serves as a sworn certification that must be completed and submitted by all bidders, and in cases of joint ventures, by each partner. Bidders are required to affirm under oath that neither they nor their agents have engaged in lobbying activities to obtain the award, and that they have complied with federal regulations concerning lobbying activities as outlined in 31 U.S.C. Section 1352, 49 CFR Part 20, and Lee County Ordinance No. 03-14.
The lobbying prohibition remains in effect from the time of bid submission until the issuance of a purchase order or final execution of the resulting agreement. The affidavit must be notarized and include identification of the affiant, who should be identified as the sole owner, general partner, joint venture partner, president, secretary, or authorized representative of the bidding entity. Failure to complete and submit this form by all required parties will result in bid non-compliance. The form establishes Lee County's commitment to preventing improper lobbying activities and ensuring competitive integrity in the procurement process for landscaping services at Page Field.
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Text version
RFB 26-0080LB: LANDSCAPING SERVICES AT PAGE FIELD
FORM 4: LOBBYING AFFIDAVIT
STATE OF ______________
COUNTY OF ____________
______________________________________________being first duly sworn, deposes and says that he or she is the (sole owner) (general partner) (joint venture partner) (president) (secretary) or (authorized representative) (circle one) of ______________________________________________ (Bidder), maker of the attached RFB and that neither the Bidder nor its agents have lobbied to obtain an award of the Agreement required by this Request for Bids from Lee County Board of Port Commissioners, members of the Airports Special Management Committee or employees of Lee County Port Authority, individually or collectively, regarding this Request for Bids.
The prospective Bidder further states that it has complied with the federal regulations concerning lobbying activities contained in 31 U.S.C., section 1352, 49 CFR Part 20 and Lee County Ordinance No. 03-14 relating to lobbying activities.
AFFIANT
Notary Public
STATE OF ______________
COUNTY OF ____________
The foregoing instrument was signed and acknowledged before me this _______ day of _____________________, 20_____, by ____________________________________________ by means of physical presence or online notarization who produced the following as identification _________________________________ (type of identification) or is personally known to me.
My Commission Expires ________________ [stamp or seal]
[Signature of Notary Public]
[Typed or printed name]
NOTE: THIS FORM MUST BE COMPLETED AND SUBMITTED BY ALL BIDDERS
AND, IN THE CASE OF A JOINT VENTURE, FROM EACH PARTNER. PLEASE NOTE - THE
LOBBYING PROHIBITION IS IN EFFECT UNTIL ISSUANCE OF A PURCHASE ORDER OR FINAL
EXECUTION OF THE AGREEMENT RESULTING FROM THIS RFB, AS APPLICABLE.
Rev: 3.24.2026 Page 52 of 61
| STATE OF: |
| COUNTY OF: |
| being first duly sworn deposes and says that he: |
| representative circle one of: |
| STATE OF_2: |
| COUNTY OF_2: |
| undefined: |
| 20: |
| by: |
| type of identification or is personally known to me: |
| My Commission Expires: |
| Typed or printed name: |
| Text6: |
| Check Box7: Off |
| Check Box8: Off |
File details come from the government source that posted it. Updated .