Lobbyist_Registration_Affidavit_-_Group_A.pdf

PDF 158 KB Posted Jul 20, 2026

Attached to: Marketing and Public Relations Services
Solicitation number: RFP0000017
Issued by: Miami-Dade County, Florida

About this file

Written by GovTribe AI · Jul 21, 2026

This is a Lobbyist Registration Affidavit - Group A form issued by Miami-Dade County for a procurement matter involving marketing and public relations services solicited by the Miami-Dade County Department of Cultural Affairs. The affidavit authorizes specified individuals to participate in oral presentations before Miami-Dade County evaluation, selection, or technical review committees and/or recorded negotiation meetings related to the marketing and advertising services contract. The form permits technical experts and employees of bidding entities to appear at these meetings without separate lobbyist registration or fees, provided they are listed on the affidavit and their normal scope of employment does not include lobbying activities. Bidders must list all authorized representatives by name, title, employer, and email address, with the requirement that no individual may appear before the evaluation committee or in negotiation sessions unless specifically listed on the affidavit or separately registered as a lobbyist with the Clerk of the Board.

The affidavit allows for amendments to the registered participants if circumstances change or additional individuals become authorized to participate, with any amended affidavits to be filed by County Procurement staff with the Clerk of the Board prior to the scheduled meetings. The affidavit must be executed under penalty of perjury by an authorized representative of the principal bidding entity, certifying the accuracy and completeness of all information provided. This form complies with Miami-Dade County Ordinance No. 21-73 regarding Conflict of Interest and Code of Ethics requirements for procurement processes.

View the file

Other files

File	Type	Posted
Subcontracting_Form_-_Group_A.pdf	PDF	Jul 20, 2026
RFP0000017_Packet_for_Solicitation_.pdf	PDF	Jul 20, 2026
Lobbyist_Registration_Affidavit_-_Group_B.pdf	PDF	Jul 20, 2026
07202026_PM_RFP0000017_1_2_0_08202026_Solicitation_Packet.pdf	PDF	Jul 20, 2026
Form_1A_-_Price_Proposal_Schedule_-_Group_A.pdf	PDF	Jul 20, 2026
07242026_CL_EVN0057600_1_1_0_08202026_Solicitation_Packet.pdf	PDF	Jul 20, 2026
Form_1B_-_Price_Proposal_Schedule_-_Group_B.pdf	PDF	Jul 20, 2026
Subcontracting_Form_-_Group_B.pdf	PDF	Jul 20, 2026

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

11072022

LOBBYIST REGISTRATION AFFIDAVIT - GROUP A

(For an Oral Presentation and/or Recorded Negotiation Meeting or Sessions)

Legal Entity’s Name:

Address: City, State and Zip Code:

Business Telephone: E-mail:

Solicitation/Contract No. and Title:

Below listed individuals are authorized to participate in 1) an oral presentation before a Miami-Dade County evaluation, selection, technical review or similar committee or subcommittee, and/or 2) recorded negotiation meeting or sessions, involving the above-referenced procurement matter.

NAME TITLE EMPLOYER E-MAIL

FOR SPD’s A/E AND D/B

TEAM USE ONLY

SIGNATURE

(ATTACH ADDITIONA L S HE E TS AS NE CE S S ARY )

11072022

For the sole purpose of an oral presentation and/or recorded negotiation meeting and sessions, the listed individuals shall not be required to separately register as lobbyists or pay any registration fees, in accordance with Ordinance No. 21-73, Relating to Conflict of Interest and Code of Ethics. The Lobbyist Registration Affidavit (this Affidavit) shall list all technical experts or employees of Principal whose normal scope of employment does not include lobbying and whose sole participation involves appearance at the meeting.

No individual shall appear before a Miami-Dade County evaluation, selection, technical review or similar committee or subcommittee, and/or recorded negotiation meeting or sessions involving the above-referenced procurement matter, unless specifically listed herein or registered as a lobbyist with the Clerk of the Board and has paid all applicable fees.

Nothing contained herein shall prohibit the Principal from amending any filed Lobbyist Registration Affidavit if any information changes and/or if additional individuals are authorized (by Principal) to participate in an oral presentation and/or recorded negotiation meeting and sessions. Amended Affidavit shall be filed by County Procurement staff with the Clerk of the Board, prior to the oral presentation and/or recorded negotiation meeting or sessions.

Written Declaration: Pursuant to §92.525, Florida Statutes, under penalties of perjury, I declare that I have read the foregoing Affidavit and that the facts stated in it are true, accurate, and complete.

Signature of Authorized Representative (Principal):

Printed Name of Authorized Representative (Principal):

Title: Date:

https://www.miamidade.gov/govaction/legistarfiles/MinMatters/Y2021/211344min.pdf

(For an Oral Presentation and/or Recorded Negotiation Meeting or Sessions)

s Name:

Address:

ty State and Zip Code:

ness Telephone:

undefined:

NAME 1:

NAME 2:

NAME 3:

NAME 4:

NAME 5:

NAME 6:

NAME 7:

NAME 8:

NAME 9:

NAME 10:

NAME 11:

NAME 12:

NAME 13:

NAME 14:

NAME 15:

NAME 16:

TITLE 1:

TITLE 2:

TITLE 3:

TITLE 4:

TITLE 5:

TITLE 6:

TITLE 7:

TITLE 8:

TITLE 9:

TITLE 10:

TITLE 11:

TITLE 12:

TITLE 13:

TITLE 14:

TITLE 15:

TITLE 16:

EMPLOYER 1:

EMPLOYER 2:

EMPLOYER 3:

EMPLOYER 4:

EMPLOYER 5:

EMPLOYER 6:

EMPLOYER 7:

EMPLOYER 8:

EMPLOYER 9:

EMPLOYER 10:

EMPLOYER 11:

EMPLOYER 12:

EMPLOYER 13:

EMPLOYER 14:

EMPLOYER 15:

EMPLOYER 16:

EMPLOYER 17:

EMPLOYER 18:

EMAIL 1:

EMAIL 2:

EMAIL 3:

EMAIL 4:

EMAIL 5:

EMAIL 6:

EMAIL 7:

EMAIL 8:

EMAIL 9:

EMAIL 10:

EMAIL 11:

EMAIL 12:

EMAIL 13:

EMAIL 14:

EMAIL 15:

SHEETS AS NECESSARY:

SIGNATURE 2:

SIGNATURE 3:

SIGNATURE 4:

SIGNATURE 5:

SIGNATURE 6:

SIGNATURE 7:

SIGNATURE 8:

SIGNATURE 9:

SIGNATURE 10:

SIGNATURE 11:

SIGNATURE 12:

SIGNATURE 13:

SIGNATURE 14:

SIGNATURE 15:

SIGNATURE 16:

pal:

undefined_2:

tle:

Date:

File details come from the government source that posted it. Updated Jul 21, 2026.