B Familial Disclosure Form.pdf
PDF 470 KB Posted
- Attached to
- Credit for Prior Learning Consulting & Training State and local contract opportunity
- Solicitation number
- RFP-BDN-250000002803-2
- Issued by
- Delta County, Edmore Village, Michigan
About this file
This document is a Familial Disclosure Form for a Bay de Noc Community College Request for Proposal/Request for Bid/Request for Quotation (RFP/RFB/RFQ). The form is an affidavit that requires the bidder's authorized representative to disclose any familial relationships between the contractor's owners/employees and the Bay de Noc Community College Board of Trustees or employees.
The form requires the affiant to declare their position within the contracting organization (such as President, CEO, Partner, Owner, etc.), affirm their authority to bind the contractor, and provide a sworn statement about the accuracy of the disclosed familial relationships. The document must be signed by the affiant, dated, and notarized, with the signatory attesting that they could testify completely and accurately about the information if requested. The purpose of this form is to ensure transparency and prevent potential conflicts of interest in the bidding process for the community college.
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| A Company Profile.pdf | ||
| C Iran Economic Sanctions Act Certification Form.pdf | ||
| Credit for Prior Learning Consulting & Training RFP.pdf |
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Text version
Familial Disclosure Form
AFFIDAVIT OF ______________________________
(insert name of affiant)
STATE OF _________________
COUNTY OF _________________
___________________________________ makes this Affidavit under oath and states as (insert name of affiant) follows:
1. I am a/the:
□ President
□ Vice-President
□ Chief Executive Officer
□ Member
□ Partner
□ Owner
□ Other (please specify) ________________________ of ____________________________________ [insert name of contractor], a bidder for a Bay de
Noc Community College RFP/RFB/RFQ.
2. I have personal knowledge and/or I have personally verified that the following are all of the familial relationships existing between the owner(s) and the employee(s) of the aforementioned contractor and the Board of Trustees and/or employees of Bay de Noc
Community College:
Exhibit B
3. I have authority to bind the aforementioned contractor with the representations contained herein, and I am fully aware that the College will rely on my representations in evaluating bids for the RFP/RFB/RFQ.
4. I declare the above information to be true to the best of my knowledge, information and belief. I could completely and accurately testify regarding the information contained in this affidavit if requested to do so.
(signature of affiant)
Dated: ________________
Subscribed and sworn before me in _________________ County, State of ________________, on the ___ day of _________________, 20___ ____________________________________________(signature) _____________________________________________ (printed) Notary public, State of _______________, County of ________________ My Commission expires on _____________________________________ Acting in the County of ________________________________________
File details come from the government source that posted it. Updated .