april24FamilialDisclosureForm (1).pdf
PDF 36 KB Posted
- Attached to
- Summer Renovations Project State and local contract opportunity
- Solicitation number
- RFP DCS 260000002271 2
- Issued by
- Genesee County, Michigan
About this file
This is a Familial Disclosure Form Affidavit required by Davison Community Schools in Davison, Michigan for bidders on a Summer Renovations Project. The form serves as an attestation by the bidder or authorized officer that no familial relationships exist between the bidder's owner(s) or employees and any member of the school district's Board of Education or Superintendent, except as disclosed on the form. Bidders are required to list any familial relationships that do exist, providing the name and relation of each family member connected to district leadership.
The affidavit must be completed and notarized before submission, with the notary public certifying the date, location, and identity of the individual acknowledging the document. This familial disclosure requirement is a standard procurement practice designed to ensure competitive integrity and prevent conflicts of interest in the bidding process for the school district's construction project. Bidders must provide their company name, authorized representative signature, title, and submission date as part of the sworn statement.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| SR-Combined Spec 6.24.26.pdf | ||
| april24IranEconomicSanctionsAct (1).pdf | ||
| SR-CD Set 6.24.26.pdf |
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Text version
Davison Community Schools
Davison, Michigan
SECTION 004200.1
FAMILIAL DISCLOSURE FORM
AFFIDAVIT OF BIDDER - #1
The undersigned, the owner or authorized officer of ____________________ (the “Bidder”), pursuant to the familial disclosure requirement provided in the _____________________ (the “School District”) advertisement for construction bids, hereby represent and warrant, except as provided below, that no familial relationships exist between the owner(s) or any employee of ______________________ and any other member of the Board of Education of the School District or the Superintendent of the School District.
List any Familial Relationships:
Name: __________________________________ Relation:
_______________________________ Name: __________________________________
Relation: _______________________________ Name:
__________________________________ Relation: _______________________________
Bidder: _________________________
By: _____________________________
Its: _____________________________
Date:____________________________
STATE OF MICHIGAN_________ )
) ss
COUNTY OF __________________)
This instrument was acknowledged before me on the ______ day of _____________ in the year _________, by ________________________________.
Notary Public
______________________ County, Michigan
My Commission Expires: ________________
Acting in the County of: ________________
FAMILIAL DISCLOSURE FORM
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