Familial Disclosure Affidavit.pdf
PDF 104 KB Posted
- Attached to
- ACCESS CONTROL
- Solicitation number
- RFP CROS 200000000020 1
- Issued by
- Sanilac County, Michigan
About this file
This is a Familial Disclosure Affidavit required by Croswell-Lexington Community Schools for bidders responding to the School District's Request for Bids. The affidavit requires the bidder or authorized officer to certify that no familial relationships exist between the bidder's owner or employees and any member of the School District's Board of Education or the Superintendent. Bidders must disclose any such familial relationships on the form and provide notarized verification of their certification. The School District's Board of Education Members and Superintendent information is available on the district's website at https://www.croslex.org/district/board-of-education/.
The affidavit requires notarization and includes standard notary sections for acknowledgment by a Notary Public, including the county of acknowledgment, date, notary signature, and commission expiration date. This document serves as a compliance and transparency requirement to ensure the integrity of the bidding process and prevent conflicts of interest in the procurement of goods or services for the School District.
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Text version
Familial Disclosure Affidavit
The undersigned, the owner or authorized officer of ________________________ (the “Bidder”), pursuant to the familial disclosure requirement provided in the Croswell-Lexington Community Schools (the “School District”) Request For Bids 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 https://www.croslex.org/district/board-of-education/
List any Familial Relationships:
BIDDER:
Name of Bidder
By:
Its:
Date:
STATE OF )
)ss.
COUNTY OF ____________ )
This instrument was acknowledged before me on the _____ day of ____________, 2019, by
, Notary Public
______________ County, __________
My Commission Expires:___________
Acting in the County of: ____________ https://www.croslex.org/district/board-of-education/
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