Attachment C Familial Statement.pdf
PDF 14 KB Posted
- Attached to
- GCI Medical Terminology Textbooks RFP
- Solicitation number
- RFP-GIS-240000002838-1
- Issued by
- Genesee County, Flint City, Michigan
About this file
This document is a Familial Relationship Disclosure Statement required for a contract opportunity with the Genesee Intermediate School District. The statement requires bidders to disclose any familial or business relationships between the bidder, its employees, and any members of the Genesee Intermediate School District's Board of Education, Superintendent, or other district officials. Bids that do not include this sworn and notarized statement will not be accepted. The document outlines the required information to be provided, including the bidder's name, address, and contact information, as well as the details of any familial or business relationships. The statement must be signed by an authorized representative of the bidder and notarized.
The document does not provide details on the specific contract opportunity, such as the product or service being procured, the response due date, award information, or contract term. Pricing terms, set-asides, funding sources, and other salient information are also not included in this particular document.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment B Bid Form.pdf | ||
| Instruction to Bidders 2192021.pdf | ||
| Attachment E School Safety Affidavit - 3.3.2023.pdf | ||
| Attachment B BID FORM Part II.xlsx | XLSX spreadsheet | |
| Acc Attachment A Project Description.pdf | ||
| Iran Economic Sanctions Act 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 .