Familial Disclosure.docx

DOCX document 14 KB Posted

Attached to
INVITATION TO BID - File Cabinets/Bookcases
Solicitation number
RFP WBL 190000000030 1
Issued by
Oakland County, Michigan

About this file

This is a Familial Disclosure Affidavit document issued by the West Bloomfield School District in connection with an Invitation to Bid for file cabinets and bookcases. The affidavit requires vendors submitting bids to disclose any familial relationships between the vendor company's owner or employees and members of the West Bloomfield School District's Board of Education or Superintendent. Bids are due on Friday, October 19, 2017, at 11:00 AM. The document provides vendors with the opportunity to list any familial relationships or indicate "none" on the form. A list of the School District's Board of Education members is available at www.wbsd.org for reference purposes.

The affidavit must be notarized and includes acknowledgment language requiring completion before a notary public, with specification of the state and county where the acknowledgment occurs. The vendor must provide the company name, authorized representative signature, and title. This disclosure requirement is a standard procurement safeguard designed to ensure transparency and prevent conflicts of interest in the bidding process for the file cabinets and bookcases project.

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Other files

File Type Posted
File Cabinets-Bookcases INVITATION TO BID.docx DOCX document
File cabinet bid specs-bid tab sheet.xlsx XLSX spreadsheet
Iran Compliance.docx DOCX document

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Text version

West Bloomfield School District

INVITATION TO BID -

FILE CABINETS/BOOKCASES

BIDS DUE FRIDAY 10/19/17 at 11:00 AM

Familial Disclosure Affidavit

The undersigned, the owner or authorized representative of ___________________________________ (the “vendor company”) pursuant to familial disclosure requirement provided in the West Bloomfield School District INVITATION TO BID – FILE CABINETS/BOOK CASES hereby represents and warrants that, except as provided below, no familial relationships exist between the School District and the owner of the vendor company or any employee of the vendor company, and any member of the Board of Education of the West Bloomfield School District or the Superintendent of the West Bloomfield School District. A list of the School District’s Board of Education Members may be viewed at www.wbsd.org

List any Familial Relationships (or indicate “none”):

VENDOR (name of vendor company):______________________________________________________

By (signature):_________________________________________________________________________

Its (title):_____________________________________________________________________________

STATE OF ___________________________________

COUNTY OF _________________________________

This instrument was acknowledged before me on the ____ day of August, 2017 by:_______________________________________________________, Notary Public _____________________ County, _____________________________ My Commission expires:______________________________________ Acting in the County of:________________________________________

File details come from the government source that posted it. Updated .