Attach C Familial Statement.pdf
PDF 14 KB Posted
- Attached to
- EKLC Furniture
- Solicitation number
- RFP GIS 190000001982 2
- Issued by
- Genesee County, Michigan
About this file
This is a Familial Relationship Disclosure Statement required by the Genesee Intermediate School District located in Flint, Michigan, under Public Act 232 of 2004. The document mandates that all bidders submit a sworn and notarized statement disclosing any familial or business relationships between the bidder, the bidder's employees, and members of the Genesee Intermediate School District Board of Education, the District Superintendent, or any other District official. Bids submitted without this completed and notarized disclosure statement will not be accepted. The form requires the contractor or vendor to provide their name, address, and contact number, along with a detailed statement of any business or familial relationships.
The document must be signed by a person authorized to bind the contractor or vendor and subsequently notarized before a Notary Public. The notary must acknowledge the instrument, including the county and state where the acknowledgment takes place, the specific date, and the notary's signature and commission expiration date. This disclosure requirement serves as a compliance mechanism to ensure transparency and prevent conflicts of interest in the bidding process for the Genesee Intermediate School District.
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Other files
| File | Type | Posted |
|---|---|---|
| Addendum 1 no bid bond.pdf | ||
| Attachment A Project Description.pdf | ||
| Attachment D Vendor Certification.pdf | ||
| Instructions to Bidders.pdf | ||
| Attachment B.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 .