Attachment C Familial Statement.pdf
PDF 15 KB Posted
- Attached to
- 2026 GISD Printers RFP
- Solicitation number
- RFP GIS 260000002464 2
- Issued by
- Genesee County, Michigan
About this file
This is a Familial Relationship Disclosure Statement required by the Genesee Intermediate School District located in Flint, Michigan, pursuant to Public Act 232 of 2004. The document mandates that all bidders and respondents submit a sworn and notarized statement disclosing any familial or business relationships between the bidder, the bidder's employees, and members of the Genesee Intermediate School District Board of Education, the District Superintendent, or any other District official. Bids that do not include this completed and notarized statement will not be accepted.
The form requires bidders to provide their name, address, and contact information, followed by a detailed statement describing any business or familial relationships. The authorized representative of the contractor, vendor, or respondent must sign and date the form, and the document must be notarized before a Notary Public, who must also sign and date it, provide their commission expiration date, and indicate the county in which the acknowledgment took place. This disclosure requirement applies to all bidding entities and serves as a compliance mechanism to ensure transparency and prevent conflicts of interest in the District's contracting processes.
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| Instruction to Bidders.pdf | ||
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| Printer RFP - Attachment A1.pdf | ||
| GISD Printers RFP 2026 - Attachment B1 Bid Form 1 - Base Bid.xlsx | XLSX spreadsheet | |
| Attachment E School Safety Affidavit.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 .