Attachment C Familial Statement.pdf
PDF 10 KB Posted
- Attached to
- Early On Furniture
- Solicitation number
- RFP GIS 180000000465 4
- 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 submit a sworn and notarized statement disclosing any familial or business relationships between the bidder, bidder employees, members of the Genesee Intermediate School District Board of Education, the District Superintendent, and any other District officials. Bids that do not include this completed and notarized disclosure statement will not be accepted.
The form requires bidders to provide their name, address, and contact number, followed by a detailed statement of any business or familial relationships with District personnel. The authorized representative of the bidder must sign and date the statement, and the document must be notarized by a Notary Public who provides their signature, date, county of service, and commission expiration date. This disclosure requirement is a mandatory compliance element for all bid submissions to the District.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A Project Description.pdf | ||
| Instructions to Bidders.pdf | ||
| Early On Furniture List.pdf | ||
| Attachment B Bid Form Part I.pdf | ||
| Attachment D Vendor Certification.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 .