Attachment C Familial Statement.pdf

15 KB Posted

Attached to
CTE Auto EV Simulator
Solicitation number
RFP - GIS - 240000001392
Issued by
Genesee County, Flint City, Michigan

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This document is a familial relationship disclosure statement required for a bid opportunity issued by the Genesee Intermediate School District (GISD) located in Flint, Michigan. The statement requires all bidders to disclose any familial or other business relationships between the bidder, its employees, and any member of the GISD Board of Education, the Superintendent, or other district officials. Bids that do not include this sworn and notarized statement will not be accepted. The related state and local contract opportunity is for a CTE Auto EV Simulator, which is being issued by GISD and the jurisdictions of Genesee County and the City of Flint.

The document outlines the bidder information that must be provided, including the company name, address, and contact information. Bidders must also describe any existing business or familial relationships and provide the name, title, signature, and date of the person authorized to bind the company. The document must be notarized prior to submission.

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Other files

File Type Posted
Attachment D Iran Economic Sanctions Act Certification.pdf PDF
Instruction to Bidders_EV Simulator.pdf PDF
Acc Attachment A Project Description_EV Simulator.pdf PDF
EV Simulator Addendum No. 1.pdf PDF
Attachment B BID FORM Part II_EV Simulator.xlsx XLSX spreadsheet
Attachment B Bid Form_EV Simulator.pdf PDF
Attachment E School Safety Affidavit - 6.15.2023.pdf PDF

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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 .