00 4100 - Familial Disclosure Statement.pdf
PDF 97 KB Posted
- Attached to
- Renovation RFP
- Solicitation number
- RFP - SAN - 240000000209
- Issued by
- Sanilac County, Sault Ste. Marie City, Michigan
About this file
This document is a Familial Disclosure Statement for a renovation Request for Proposals (RFP) issued by the governments of Sanilac County and the City of Sault Ste. Marie in the state of Michigan. The Familial Disclosure Statement requires all bidders to disclose any familial relationships between the bidder's employees and the school district's leadership. Bidders must complete and submit this sworn and notarized statement with their bid in order for it to be considered. The renovation RFP involves unspecified work to be performed within Sanilac County and the City of Sault Ste. Marie, but no further details about the project scope, timeline, or other requirements are provided in this document.
The Familial Disclosure Statement does not contain any information about pricing, set-asides, incumbent contractors, funding sources, or other commercial terms. It is a standard compliance document required as part of the bidding process for this state and local government renovation project in Michigan.
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Other files
| File | Type | Posted |
|---|---|---|
| Renovation RFP.pdf | ||
| Renovation RFP (1).pdf | ||
| Renovation RFP (2).pdf | ||
| Renovation RFP (3).pdf |
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Text version
SECTION 00 4100
FAMILIAL DISCLOSURE STATEMENT
All bidders must complete the following familial disclosure form in compliance with MCL 380.1267 (Public Act 232 of 2004) and attach this information to the bid.
By the attached sworn and notarized statement we are disclosing the following familial relationship(s) that exists between the owner or any employee of the bidder and any member of the board, intermediate school board, or board of directors or the superintendent of the school district, intermediate superintendent of the intermediate school district, or chief executive officer of the public school academy.
The Owner shall not accept a bid that does not include this sworn and notarized disclosure statement.
Disclose any familial relationship and complete the form below in its entirety:
The following are familial relationships as described above (provide employee name, family contact name, family contact position, and familial relationship or NONE.)
Signature(s): Title: Title:
Name of firm:
STATE OF MICHIGAN )
) SS
COUNTY OF )
On this day of , 20 , before me a Notary Public in and for said county, personally appeared , agent of the said firm and who acknowledged the same to be his free act and deed as such agent.
Notary Public
END OF SECTION 00 4100
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