1-Sworn statement of Familial Relationship.pdf
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- Attached to
- eRate 2026 Network Switching Electronics RFQ
- Solicitation number
- eRate2026-2
- Issued by
- Kent County, Grand Rapids City, Michigan
About this file
This is a Sworn Statement of Familial Relationship form required by Grand Rapids Public Schools in Michigan pursuant to Section 1267 of the Revised School Code (MCL 380.1267). The form must be completed by bidders submitting proposals to the Grand Rapids Public School District and serves as a disclosure document regarding any familial relationships between the bidder's owners or employees and members of the Grand Rapids Public Schools Board of Education or the Superintendent. The form provides two disclosure options: a statement that no familial relationships exist, or a detailed description of any existing familial relationship, including the names of the related parties, their roles, and the nature of the relationship.
The form requires notarization and must be sworn before a notary public. Completion and submission of this disclosure statement is a mandatory requirement for all bidders participating in the district's procurement process, ensuring transparency and compliance with Michigan school code regulations regarding potential conflicts of interest.
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Grand Rapids Public Schools
Grand Rapids Public Schools SWORN STATEMENT OF FAMILIAL RELATIONSHIP
FORM OF SWORN STATEMENT OF FAMILIAL RELATIONSHIP
As required by Section 1267 of the Revised School Code – MCL 380.1267
STATE OF MICHIGAN
COUNTY OF __________________
_________________________________________, being duly sworn, deposes and says:
That _______________________________________ (The “Bidder”) has submitted a proposal for the Grand Rapids Public School District.
That the following is a statement of disclosure of any familial relationship that exists between the owner or any employee of the Bidder and any member of the Grand Rapids Public Schools
Board of Education or Superintendent, as required pursuant to Section 1267 of the Revised
School Code, as amended.
1. That there are no such familial relationships existing at this time.
2. That a familial relationship exists between _____________________________, who is an (owner) (employee) of the Bidder and the _________________________________
(nature of familial relationship I.e. brother, sister, cousin, etc.)
of ___________________________________who is _____________________________
(a member of the Board), (the Superintendent).
Deponent
Subscribed and sworn to before me this _________________Date of __________,2016
Notary Public of MI, County of
Acting in:
My commission expires:___________________
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