Attachment C Familial Statement.pdf
PDF 10 KB Posted
- Attached to
- Early on Furniture Rebid
- Solicitation number
- RFP GIS 180000002501 2
- Issued by
- Genesee County, Michigan
About this file
This is a Familial Relationship Disclosure Statement required by the Genesee Intermediate School District (GISD) located in Flint, Michigan, in compliance with Public Act 232 of 2004. The document must accompany all bids submitted to GISD and requires bidders, contractors, vendors, and respondents to disclose any familial or business relationships existing between the bidder's employees and members of the GISD Board of Education, the Superintendent, or any other District official. Bids submitted without this sworn and notarized disclosure statement will not be accepted.
The statement requires the contractor or vendor to provide their name, address, and contact information, followed by a detailed description of any business or familial relationships. The authorized representative of the bidding entity must sign the document, which must then be notarized by a Notary Public in the appropriate county. The notarization section requires the notary to acknowledge the date, county, state, and expiration date of their commission. This disclosure mechanism ensures transparency and identifies potential conflicts of interest in the bidding process for GISD procurement activities.
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Other files
| File | Type | Posted |
|---|---|---|
| Early On Furniture .pdf | ||
| Attachment D Vendor Certification.pdf | ||
| Instructions to Bidders.pdf | ||
| Attachment A Project Description.pdf | ||
| Addendum 1.pdf | ||
| Attachment B Bid Form Part I.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 .