Attach C Familial Statement_.pdf
PDF 13 KB Posted
- Attached to
- Manikin Simulation
- Solicitation number
- RFP GIS 190000001908 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, under Public Act 232 of 2004. All bidders responding to solicitations issued by the Genesee Intermediate School District must submit a sworn and notarized statement disclosing any familial or business relationships existing between the bidder, the bidder's employees, and members of the District's Board of Education, the Superintendent, or other District officials. The form requires bidders to provide their company name, address, and contact information, along with a detailed statement of any business or familial relationships that may exist. Bids that do not include this completed and notarized disclosure statement will not be accepted.
The statement must be signed and dated by a person authorized to bind the contractor or vendor, and subsequently notarized by a Notary Public in the county where the acknowledgment takes place. The notarization section requires the notary to document the state, county, date, and expiration of their commission. This disclosure requirement serves as a compliance and transparency mechanism to ensure fair procurement practices and prevent conflicts of interest in the bidding process.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A Project Description1.pdf | ||
| Attachment D Vendor Certification.pdf | ||
| Attach B Bid Form.pdf | ||
| Instruction to Bidders.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 .