Affidavit of Bidder-Familial Disclosure Stmt.docx
DOCX document 15 KB Posted
- Attached to
- Request for Snowplowing Services
- Solicitation number
- RFP-LCS-180000003457-1
- Issued by
- Kent County, Lansing City, Michigan
About this file
This is a Familial Disclosure Statement Affidavit form required for bidders responding to the Lapeer Community School District's advertisement for Snowplowing Services 2018-2019. The document requires bidders to disclose any familial relationships that exist between the owner(s) or employees of the bidding company and any member of the Board of Education, Intermediate School Board, or the Superintendent of the School District.
The document must be completed, signed by an authorized officer of the bidding company, and notarized before submission. The form includes spaces for identifying the bidder, authorized representative, and notary information including county, commission expiration date, and county of operation.
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Other files
| File | Type | Posted |
|---|---|---|
| Snowplowing Svcs Req for Bid.docx | DOCX document | |
| Invitation to Bid 18-19 Snowplowing Services.docx | DOCX document | |
| SITE GROUPINGS.docx | DOCX document |
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Text version
FAMILIAL DISCLOSURE STATEMENT
AFFIDAVIT OF BIDDER
The undersigned, owner or authorized officer of ____________________________(the “Bidder”), pursuant to the familial disclosure requirement provided in the Lapeer Community School District advertisement for Snowplowing Services 2018-2019 hereby represent and warrant, except as provided below, that no familial relationships exist between the owner(s) or any employee of the ‘Bidder’ and any member of the Board of Education, Intermediate School Board or the Superintendent of the School District
List any Familial Relationships (or state ‘None’):
BIDDER:
By: ____________________________
Its: ____________________________
| STATE OF MICHIGAN | ) | |
| )ss. |
COUNTY OF _____________)
This document was acknowledged before me on the ____ day of _______, 20___, by _____________________, Notary Public
______________ County, Michigan
My Commission Expires: _____________
Acting in the County of: _______________
MR/My Doc/Bids/Affidavit of Bidder-Familial Disclosure Stmt
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