Attach C Familial Statement_.pdf
PDF 13 KB Posted
- Attached to
- Career Technical Education Table & Chair RFP
- Solicitation number
- RFP-GIS-200000002103-2
- Issued by
- Genesee County, Michigan
About this file
This is a Familial Relationship Disclosure Statement form required under Public Act 232 of 2004 for the Genesee Intermediate School District (GISD) located at the Erwin L. Davis Education Center in Flint, Michigan. The form requires all bidders to disclose any familial or business relationships that exist between the bidder (including all bidder employees) and any member of the GISD Board of Education, District Superintendent, or other District officials. Bids submitted without this sworn and notarized statement will not be accepted.
The form requires contractor/vendor information including name, address, and contact details, followed by a section to detail any business or familial relationships. It must be signed by a person authorized to bind the contractor/vendor and notarized by a Notary Public, including the notary's commission expiration date and county of operation. The document appears as "Attachment C" in relation to a broader bid or proposal package.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A Project Description.pdf | ||
| Instructions to Bidders.pdf | ||
| Attachment B Part II.xlsx | XLSX spreadsheet | |
| Attachment B Bid Form Part I.pdf | ||
| Attachment D Vendor Certification_.pdf |
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Text version
GENESEE INTERMEDIATE SCHOOL DISTRICT
ERWIN L. DAVIS EDUCATION CENTER
2413 WEST MAPLE AVENUE
FLINT, MI 48507-3493
PUBLIC ACT 232 OF 2004
FAMILIAL RELATIONSHIP DISCLOSURE STATEMENT
All bids must be accompanied by a sworn and notarized statement disclosing any familial, or other business relationship existing between the bidder (respondent to this Bid) and all employees of the bidder and any member of the Genesee Intermediate School District Board of Education, the Superintendent of the District and/or any other official of the District. Any bids that do not include this sworn and notarized statement shall not be accepted.
Owner Name & Address:
Genesee Intermediate School District 2413 West Maple Avenue
Flint, MI 48507-3493
Contractor/Vendor/Respondent Information:
Name: ______________________________________________________________________
Address: ____________________________________________________________________
Contact Number: ______________________________________________________________
Statement of Business or Familial Relationship:
Person Authorized to Bind the Contractor/Vendor/Respondent:
Print Name Title
Signature Date
Seal:
This instrument was acknowledged before me, a Notary Public, in and for ___________________________ County, _____________________ on this _________ day of ________________________, 20_________.
State
Notary Public Signature Date
My Commission Expires: _______________________
Acting in the County of: ________________________
Attachment C
File details come from the government source that posted it. Updated .