Attachment C Familial Statement.pdf
PDF 14 KB Posted
- Attached to
- Medical Terminology Textbook RFP REBID
- Solicitation number
- RFP-GIS-240000003023-2
- Issued by
- Genesee County, Michigan
About this file
This document is a Familial Relationship Disclosure Statement required as part of a bid submission for Genesee Intermediate School District in Flint, Michigan. The statement requires contractors, vendors, or respondents to disclose any familial or business relationships that exist between the bidding company and any employees of the school district or members of the Board of Education. Bids that do not include this sworn and notarized statement will not be accepted.
The document outlines the bidder information that must be provided, including the company name, address, and contact information. The bidder is required to disclose the nature of any familial or business relationships with district officials. The statement must be signed by an authorized representative of the bidding company and notarized. This disclosure statement appears to be a standard requirement for this procurement, but the document does not provide any additional details about the specific contract opportunity or bidding process.
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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 .