FORM_5_LOBBYING_AFFIDAVIT.pdf
PDF 99 KB Posted
- Solicitation number
- 26-0078BW
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This is a Lobbying Affidavit Form 5 required by the Lee County Port Authority for the Request for Qualifications (RFQ) 26-0078BW regarding Architectural and Engineering Services for Southwest Florida International Airport's (RSW) New Long Term Parking Lot project in Florida. All respondents submitting qualifications must complete and submit this affidavit, with each joint venture partner required to submit an individual affidavit. The form requires the affiant to certify their position with the respondent entity and affirm under oath that neither the respondent nor its agents have engaged in lobbying activities to obtain the contract award from the Lee County Board of Port Commissioners, members of the Airports Special Management Committee, or Lee County Port Authority employees.
The affidavit must be notarized and signed before a Notary Public, with the notary providing their commission expiration date and identifying information. Respondents must attest to compliance with federal lobbying regulations outlined in 31 U.S.C. Section 1352, 49 CFR Part 20, and Lee County Ordinance No. 03-14. The form serves as a mandatory compliance document for all RFQ participants and requires completion with proper notarization before submission to the procurement portal at https://procurement.opengov.com/portal/flylcpa.
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Text version
RFQ 26-0078BW: ARCHITECTURAL AND ENGINEERING SERVICES FOR SOUTHWEST FLORIDA INTERNATIONAL AIRPORT (RSW) NEW
LONG TERM PARKING LOT
FORM 5: 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 ______________________________________________ (Respondent), maker of the attached RFQ and that neither the Respondent nor its agents have lobbied to obtain an award of the Agreement required by this Request for Qualifications 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 Qualifications.
The Respondent 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 RESPONDENTS
AND, IN THE CASE OF A JOINT VENTURE, FROM EACH JOINT VENTURE PARTNER
Rev: 5.28.2026 Page 48 of 52
| or she is the sole owner general partner joint venture partner president secretary or authorized: |
| maker of the attached RFQ and that neither the Respondent nor its agents have lobbied to obtain an award: |
| AFFIANT: |
| The foregoing instrument was signed and acknowledged before me this 2: |
| online notarization who produced the following as identification: |
| type of identification or is personally known to me: |
| My Commission Expires: |
| Typed or printed name: |
| physical presence or: |
| Day: |
| State: |
| County: |
File details come from the government source that posted it. Updated .