D.2 Familial Disclosure Affidavit.doc

This is a Familial Disclosure Affidavit attachment (D.2) for the Southgate Community Schools Anderson High School Request for Proposal regarding Auditorium Lighting, Sound, and Stage Curtain Replacement Services, issued on October 19, 2017. The document requires contractors to disclose any familial relationships between the contractor's owner or employees and members of the School District's Board of Education or Superintendent. Contractors must certify that no such familial relationships exist, except as explicitly listed on the form. The affidavit includes provisions for identifying the contractor, the authorized officer signing the document, and a notarization section requiring acknowledgment before a notary public. Reference to the School District's Board of Education Members and Superintendent is available at http://www.southgateschools.com/.

The affidavit serves as a conflict-of-interest disclosure mechanism to ensure competitive integrity and transparency in the procurement process. Contractors are required to provide complete disclosure of any family relationships that could create actual or perceived conflicts of interest, with space provided to list such relationships if applicable. The document must be notarized and executed by an authorized representative of the bidding contractor prior to submission as part of the RFP response.