2025-2026 - OAS Front End Loader - Familial Disclosure Form.pdf
PDF 114 KB Posted
- Attached to
- Release of Front End Loader Invitation to Bid
- Solicitation number
- RFP OAS 260000002056 1
- Issued by
- Huron County, Michigan
About this file
This is a Familial Disclosure Form associated with Oscoda Area Schools' Invitation to Bid for a Front End Loader and Snow Pusher Attachment in Michigan. The bid is due on June 4, 2026, at 12:00 PM EST. Pursuant to Michigan Public Act 232 of 2004 (MCL 380.1267), all bidders are required to submit a sworn and notarized statement disclosing any familial relationships between the bidder's owner or employees and members of the Oscoda Area Schools Board or Superintendent. The Board members listed are Tony Ommani, Donald R. Ellis III, Tim Kellstrom, William Gaines, Sharon Savage, Kathy Kent, and Jane Negro, with Scott M. Moore serving as Superintendent. Bids submitted without the required disclosure statement will not be accepted.
The form requires bidders to disclose all familial relationships or certify that no such relationships exist. Bidders must provide the owner or employee name, the related board member or superintendent name, and the nature of the relationship. The disclosure must be signed by the bidder's owner or authorized representative, notarized, and submitted with the bid. This requirement applies to all bidders regardless of whether familial relationships exist.
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Text version
Oscoda Area Schools ITB – Front End Loader and Snow Pusher Attachment
Bid Due: June 4, 2026 – 12:00 PM EST
BID DISCLOSURE STATEMENT - FAMILIAL RELATIONSHIP
Pursuant to MCL 380.1267 (Public Act 232 of 2004), a sworn and notarized statement disclosing any familial relationship that exists between the owner or any employee of the bidder and any member of the Oscoda Area Schools Board or the Oscoda Area Schools Superintendent must be accompanied with the bid. Bids without this disclosure statement will not be accepted.
The members of the Oscoda Area Schools Board are: Tony Ommani, Donald R. Ellis III, Tim Kellstrom, William Gaines, Sharon Savage, Kathy Kent, and Jane Negro and the Superintendent of the Oscoda Area Schools is Scott M. Moore.
The following are the familial relationship(s):
Owner/Employee Name: Related to: Relationship:
Attach additional pages if necessary to disclose all familial relationships.
□ There is no familial relationship that exists between the owner or any employee of the bidder and any member of the Oscoda Area Schools Board, or the Oscoda Area Schools Superintendent.
The undersigned, the owner or authorized representative of bidder: does hereby represent and warrant that the disclosure statements herein contained are true.
Print Name Signature of Bidder Representative
Title
STATE OF MICHIGAN )
) ss
COUNTY OF )
This instrument was acknowledged before me on the day of , , by
Notary Public
County, Michigan
My commission expires: ____/____/____
Acting in the County of: _____________
BID DISCLOSURE STATEMENT - FAMILIAL RELATIONSHIP
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