Attachment C Familial Statement.pdf

15 KB Posted

Attached to
CTE Health Science Anatomage Table
Solicitation number
RFP - GIS - 240000001385
Issued by
Genesee County, Flint City, Michigan

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This document is a Familial Relationship Disclosure Statement required by the Genesee Intermediate School District for bids related to the CTE Health Science Anatomage Table contract opportunity. The statement requires all bidders to disclose any familial or business relationships existing between the bidder and employees of the Genesee Intermediate School District Board of Education, the Superintendent, or other district officials. Any bid submitted without this sworn and notarized statement will not be accepted. The contract opportunity is for the supply of an Anatomage Table for the Genesee Intermediate School District located in Flint, Michigan, which serves both Genesee County and the City of Flint.

The document does not provide additional details about the contract opportunity such as pricing terms, set-asides, incumbent information, funding sources, or other salient details. The focus of this document is solely on the familial disclosure requirement for bidders on this contract opportunity.

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Other files

File Type Posted
Acc Attachment A Project Description_Anatomage Table.pdf PDF
Attachment B Bid Form_Anatomage Table.pdf PDF
Attachment B BID FORM Part II_Anatomage Tables.xlsx XLSX spreadsheet
Attachment D Iran Economic Sanctions Act Certification.pdf PDF
Attachment E School Safety Affidavit - 6.15.2023.pdf PDF
Instruction to Bidders_Anatomage Table.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 .