C.2 Familial Disclosure Affidavit (1).doc
DOC document 93 KB Posted
- Attached to
- Anderson High School Paving
- Solicitation number
- Not on record
- Issued by
- Wayne County, Sterling Village, Michigan
About this file
The document is a Familial Disclosure Affidavit for Southgate Community Schools related to a Paving Contractor Services Request for Proposal (RFP) dated May 21, 2024. The RFP involves civil and paving services for Anderson High School, located at 15475 Leroy St, Southgate, Michigan, with work to be completed during the summer break period between June 12th and September 3rd, 2024. The project scope includes parking lot repaving, curb work, selective sidewalk replacement, and storm water retention improvements, to be performed during standard shifts of 7 AM-5 PM, Monday through Friday.
The affidavit requires the contractor to disclose any familial relationships between the contractor's ownership/employees and the school district's Board of Education members or Superintendent. The document is a standard disclosure form that ensures transparency and helps prevent potential conflicts of interest in the bidding and contract award process. No specific pricing, funding sources, or contract value details are provided in this particular document, which appears to be a procedural requirement for bidder qualification in the RFP process.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| A.1 SCS Parking Lot RFP 05-21-24 (1).pdf | ||
| A.2 Anderson High School - Bid Documents.pdf | ||
| C.3 Iran Economic Sanctions Act Affidavit (1).docx | DOCX document | |
| C.4 Non-Collusive Affidavit (1).doc | DOC document | |
| C.5 Criminal Background Disclosure Statement (2).doc | DOC document | |
| SCS 2024 Anderson Paving Contractor RFP Newspaper Advertisement.doc | DOC document | |
| C.1 Bid Proposal Form (2).doc | DOC document |
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Text version
SOUTHGATE COMMUNITY SCHOOLS
PAVING CONTRACTOR SERVICES RFP – REQUEST FOR PROPOSAL
ATTACHMENT C.2 – FAMILIAL DISCLOSURE AFFIDAVIT
MAY 21, 2024
Familial Disclosure Affidavit The undersigned, the owner or authorized officer of ________________________ (the “Contractor”), pursuant to the familial disclosure requirement provided in the Southgate Community Schools (the “School District”) Request For Proposals for PAVING CONTRACTOR SERVICES, hereby represents and warrants that, except as provided below, no familial relationships exist between the owner or any employee of the Contractor, and any member of the Board of Education of the School District or the Superintendent of the School District. A list of the School District’s Board of Education Members and its Superintendent may be found at www.southgateschools.com.
List any Familial Relationships:
FIRM:
Name of Firm By:
Its:
STATE OF
)ss.
COUNTY OF )
This instrument was acknowledged before me on the day of , 2024, by ________________.
, Notary Public
______________ County, My Commission Expires:
Acting in the County of:
C-2
File details come from the government source that posted it. Updated .