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 required by the Genesee Intermediate School District in Flint, Michigan, pursuant to Public Act 232 of 2004. The document mandates that all bidders and respondents submit a sworn and notarized statement disclosing any familial or business relationships between the bidder's employees and members of the Genesee Intermediate School District Board of Education, the District Superintendent, or other District officials. Bids that do not include this completed and notarized disclosure statement will not be accepted for consideration.
The statement requires bidders to provide their name, address, and contact information, followed by a detailed disclosure of any business or familial relationships with District personnel. The authorized representative of the contractor or vendor must sign the statement, which must then be acknowledged before a notary public in the appropriate county. The notary must provide their signature, commission expiration date, and the county in which they are acting to complete the document certification.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment D Vendor Certification_.pdf | ||
| Attachment A Project Description.pdf | ||
| Attachment B Bid Form Part I.pdf | ||
| Instructions to Bidders.pdf | ||
| Attachment B Part II.xlsx | XLSX spreadsheet |
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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 .