Attachment E School Safety Affidavit.pdf

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Attached to
FY2025 MISEN Data Center Presence RFP
Solicitation number
RFP-GIS-250000001042-1
Issued by
Genesee County, Michigan

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Written by GovTribe AI ·

This is a School Safety Affidavit form (Attachment E) required for the Genesee Intermediate School District's MISEN FY2025 Mobile Internet RFP. The document is a mandatory affidavit that must be certified on behalf of vendors and submitted with every bid to the Board of Education, who will not accept bids without this completed and signed form.

The affidavit requires contractors to certify that all persons working directly or indirectly for them on school district property comply with Michigan Compiled Laws (MCL) 380.1230, 380.1230a, 380.1230c, 3801230d, and 380.1230g and have not been convicted of any "listed offenses." Contractors must report within 3 business days if any person is charged with crimes listed in Section 1535a(1) of the Revised School Code and immediately report to Michigan Statewide Education Network if that person is subsequently convicted, pleads guilty, or pleads no contest. The form requires the contractor's state, county, tax ID number, authorized officer information, and signature, with a space to note any exceptions.

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Other files

File Type Posted
MiSEN FY25 Data Center Presence ATTACHMENT A - Specifications & Additional Terms.pdf PDF
MiSEN FY25 Data Center Presence RFP Instruction to Bidders.pdf PDF
Attachment D Iran Economic Sanctions Act Certification.pdf PDF
Attachment C Familial Statement.pdf PDF
Attachment B- Data Center Presence - MISEN_Genesee Intermediate School District Bid Form.xlsx XLSX spreadsheet

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RFP - Attachment E Genesee Intermediate School District MISEN FY2025 Mobile Internet RFP

School Safety

THE AFFIDAVIT SET FORTH BELOW MUST BE CERTIFIED ON BEHALF

OF THE VENDOR AND FURNISHED WITH EVERY BID

The Board of Education will not accept this bid without this completed and signed form.

School Safety Legislation

State of

County of

Tax ID Number

__________________ , the authorized officer of ______________ (the "Contractor") certifies, warrants and represents that any and all persons who will work directly or indirectly for the

Contractor, including but not limited to employees, agents, vendors, subcontractors or consultants, and who will work at or on any school district property, shall, at all times, be in compliance with MCL 380.1230, 380.1230a, 380.1230c, 3801230d, and 380.1230g and have not been convicted of any "listed offenses". In this regard, Contractor agrees, without limitation, to report within 3 business days to the School District when any such person is charged with a crime listed in Section 1535a(1) of the Revised School Code or a substantially similar law, and to immediately report to Michigan Statewide Education

Network if that person is subsequently convicted, pleads guilty or pleads no contest to that crime.

Exceptions:

(If no exceptions, please state none)

Name:

Signature:

1/1

State of:
County of:
Tax ID Number:
warrants and represents that any and all persons who will work directly or indirectly for the:
the authorized officer of:
Exceptions If no exceptions please state none:
Name:

File details come from the government source that posted it. Updated .