Attachment C Familial Statement.pdf
PDF 13 KB Posted
- Attached to
- ECPS Oriole's Nest RFP
- Solicitation number
- RFP-GIS-250000001927-2
- Issued by
- Genesee County, Michigan
About this file
This document is a Familial Relationship Disclosure Statement for the Genesee Intermediate School District (GISD) located in Flint, Michigan, issued under Public Act 232 of 2004. The form requires potential bidders/contractors to disclose any familial or business relationships between their organization and GISD employees, board members, superintendent, or other district officials. All bids must include this sworn and notarized statement, and bids without the completed disclosure will not be accepted.
The document provides a template for contractors/vendors to complete, requiring them to list their name, address, contact information, and provide details about any existing relationships with district personnel. The form includes spaces for an authorized representative to sign and have the statement notarized, with specific sections for county, state, and notary public details. The purpose of this document is to ensure transparency and prevent potential conflicts of interest in the bidding and contracting process for the Genesee Intermediate School District.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A Project Description.pdf | ||
| Attachment D Vendor Certification.pdf | ||
| Attachment E School Safety Affidavit.pdf | ||
| ECPS Oriole's Nest RFP - Addendum_1_Vendor Questions.pdf | ||
| Attachment B Bid Form Part I.pdf | ||
| Attachment B Part II.xlsx | XLSX spreadsheet | |
| 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 .