Familial Disclosure Affidavit.pdf
PDF 87 KB Posted
- Attached to
- Musical Instruments
- Solicitation number
- 25-0403
- Issued by
- Oakland County, Michigan
About this file
This Familial Disclosure Affidavit is a document from the Walled Lake Consolidated School District related to a solicitation for the purchase of musical instruments. The affidavit requires bidders to disclose any familial relationships between the bidder's ownership/employees and members of the school district's Board of Education or Superintendent. Bidders must transparently report any such familial connections, with the option to list any existing relationships on the form.
The document is a standard compliance form designed to ensure transparency and prevent potential conflicts of interest in the school district's procurement process. The affidavit provides a web link (http://www.wlcsd.org) where bidders can reference the current Board of Education members and Superintendent to aid in their disclosure process. The form requires notarization, indicating the seriousness of the disclosure and the need for verified, sworn statements from potential vendors.
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Other files
| File | Type | Posted |
|---|---|---|
| IFB 25-0403 Musical Instruments.pdf | ||
| Iran Economic Sanctions Act Affidavit.pdf |
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Text version
ATTACHMENT B
FAMILIAL DISCLOSURE AFFIDAVIT
The undersigned, the owner or authorized officer of ________________________ (the “Bidder”), pursuant to the familial disclosure requirement provided in the Walled Lake Consolidated School District’s (the “School District”) Invitation for Bids for the Purchase of Musical Instruments, hereby represents and warrants that, except as provided below, no familial relationships exist between the owner or any employee of the Bidder, 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 http://www.wlcsd.org.
List any Familial Relationships:
BIDDER:
By:
Its:
STATE OF )
) ss.
COUNTY OF ____________ )
This instrument was acknowledged before me on the _____ day of ____________, 20__, by
, Notary Public
______________ County, My Commission Expires:
Acting in the County of:
| STATE OF: |
| COUNTY OF: |
| BIDDER: |
| By: |
| Its: |
| Notary Public: |
| My Commission Expires: |
| Acting in the County of: |
| Bidder: |
| Relationships: |
| Day: |
| Month: |
| Year: |
| Name: |
| County: |
| State: |
File details come from the government source that posted it. Updated .