C.2 Familial Disclosure Affidavit (2).pdf
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- Attached to
- Paving Contract Services
- Solicitation number
- Not on record
- Issued by
- Wayne County, Sterling Heights City, Michigan
About this file
The document is a Familial Disclosure Affidavit for Southgate Community Schools' Request for Proposal (RFP) for Paving Contractor Services. The RFP seeks civil and paving services for multiple elementary schools in the district, including Allen Elementary School and Gerisch School. The project is scheduled to be completed during summer months, with work hours from 7am-5pm Monday through Friday, and must be finished by August 28, 2025, in preparation for the first day of school on September 2nd, 2025. Board approval is anticipated for July 15th, 2025, and the project will be awarded on a school-by-school basis.
The affidavit requires contractors to disclose any familial relationships between the contractor's owners or employees and members of the School District's Board of Education or Superintendent. The document provides a space for listing any such relationships and requires notarization. The RFP indicates that project details, including specific construction documents and specifications dated June 12th, 2025, will guide the civil and paving work, which encompasses parking lots, civil work, and pre-construction requirements such as staking and surveying.
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Text version
SOUTHGATE COMMUNITY SCHOOLS
REQUEST FOR PROPOSAL – PAVING CONTRACTOR SERVICES RFP
ATTACHMENT C.2 – FAMILIAL DISCLOSURE AFFIDAVIT
C-2
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 https://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 , 2025, by
, Notary Public
______________ County, My Commission Expires:
Acting in the County of:
File details come from the government source that posted it. Updated .