B Familial Disclosure Form.pdf
PDF 470 KB Posted
- Attached to
- Competency Based Education Consultant State and local contract opportunity
- Solicitation number
- RFP-BDN-250000002808-2
- Issued by
- Delta County, Edmore Village, Michigan
About this file
The 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 a contractor or bidder to disclose any familial relationships between the contractor's owners and employees and the Bay de Noc Community College Board of Trustees and/or employees.
The affidavit requires the signatory, who must be in a leadership role such as President, Vice-President, CEO, Member, Partner, Owner, or another specified position, to verify and declare under oath any existing familial relationships. The individual must have the authority to bind the contractor and understand that the College will rely on these representations during the bid evaluation process. The form must be signed, dated, and notarized, with the affiant affirming their ability to provide complete and accurate testimony about the disclosed information if requested.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| C Iran Economic Sanctions Act Certification Form.pdf | ||
| A Company Profile.pdf | ||
| Competency Based Education Consultant 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 .