1-Sworn statement of Familial Relationship.pdf
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- Attached to
- eRate 2026 Fiber Data Cabling Upgrade Project
- Solicitation number
- eRate2026-1
- 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 under Michigan's Revised School Code Section 1267 (MCL 380.1267). The form applies to bidders submitting proposals to the Grand Rapids Public School District and serves as a disclosure mechanism for conflicts of interest related to Board of Education members and the Superintendent.
The form requires bidders to certify under oath whether any familial relationships exist between the bidder's owners or employees and members of the Grand Rapids Public Schools Board of Education or the Superintendent. Bidders must select either option one, stating no familial relationships exist, or option two, which requires disclosure of the specific relationship, the individual's role within the bidding entity, and the nature of the relationship to the school district official. The sworn statement must be notarized and dated, with the notary public providing commission expiration information. This disclosure requirement is designed to ensure transparency and prevent conflicts of interest in the procurement process for school district contracts.
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Text version
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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