FAMILIAL DISCLOSURE AFFIDAVIT.docx
DOCX document 14 KB Posted
- Attached to
- ALUMINUM DOORS AND FRAMES
- Solicitation number
- RFP CAP 190000001214 2
- Issued by
- Genesee County, Clifford Village, Michigan
About this file
This is a Familial Disclosure Affidavit required by the Clio Area Schools District for all bid submissions. The affidavit mandates that bidders and contractors provide a sworn statement disclosing any familial relationships between the bidder's owner(s) or employees and members of the District's Board of Education, the Superintendent, or any Clio Area Schools Administrator. The document requires bidders to certify under oath whether such relationships exist and, if they do, to provide detailed information identifying the employee or owner, the related party, and the nature of the relationship. The affidavit must be notarized and include the notary public's signature, commission expiration date, and county of operation.
The affidavit serves as a conflict-of-interest disclosure mechanism to ensure transparency and maintain the integrity of the procurement process. Bidders must either confirm the absence of familial relationships or list all such relationships on the form, with additional pages attached if necessary. The document does not address pricing, contract terms, funding sources, or other substantive project details, as it functions solely as a compliance and disclosure requirement for the bidding process.
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Other files
| File | Type | Posted |
|---|---|---|
| Aluminum-Doors-and-Frames-20180605.pdf | ||
| AFFIDAVIT OF COMPLIANCE-IRAN ECONOMIC SANCTIONS ACT.docx | DOCX document | |
| ALUMINUM DOORS AND FRAMES-2019-addem-1.pdf |
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Text version
FAMILIAL DISCLOSURE AFFIDAVIT
All bids shall be accompanied by a sworn statement disclosing any familial relationship that exists between the owner(s) or any employee of the bidder and any member of the Board of Education of the District, the Superintendent of the District and/or any Clio Area Schools Administrator.
The undersigned, owner of authorized officer of ________________________ (the bidder/contractor), pursuant to the familial disclosure requirement provided in the Clio Area Schools District Request for Proposals, hereby represent and warrant, except as provided below, that no familial relationships exist between bidder/contractor or any employee of the bidder/contractor, and any member of the Clio Area Schools District’s Board of Education, the Superintendent and/or Clio Area Schools Administrator.
· The following are the bidder’s familial relationship(s) with the Clio Area Schools District: Bidder/Contractor Employee Name Related to: Relationship
1. ____________________________________________________________________
2. ____________________________________________________________________ (Attach additional pages if necessary to disclose all familial relationships)
· There is no familial relationship that exists between the bidder/contractor and/or any employee of the bidder and any member of the Clio Area Schools District’s Board of Education and/or Superintendent.
Bidder:
(Company Name)
By:
(Signature) (Title)
This instrument was acknowledged before me, a Notary Public, in and for ______________________ County, ____________________ on this ____ day of ____________________, 20 ___.
______________________________________ SS: ___________________________
(Notary Public Signature)
My Commission expires: ______________________________
Acting in the County of: _______________________________
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