Familial Disclosure Form.pdf
PDF 80 KB Posted
- Solicitation number
- RFP-BRPS-260000000206-2
- Issued by
- Berrien County, Blissfield Village, Michigan
About this file
This is an affidavit form required by Michigan school districts for contractors bidding on construction projects involving new school buildings or additions, repairs, and renovations to existing school buildings. The form must be completed by a representative of the bidding contractor who holds a position of authority, such as President, Vice-President, Chief Executive Officer, Member, Partner, or Owner. The affiant is required to disclose all familial relationships existing between the contractor's owners and employees and the school district's superintendent and/or board members. The form serves as a transparency mechanism to identify potential conflicts of interest that could influence the bid evaluation process.
The affidavit must be executed under oath before a notary public and includes a declaration that the information provided is true to the best of the affiant's knowledge and belief. The affiant certifies that they have personal knowledge of and have personally verified all familial relationships and possess the authority to bind the contractor with the representations contained in the affidavit. The school district relies on the accuracy and completeness of these representations when evaluating construction project bids. Submission of this affidavit is a mandatory requirement for bid consideration on Michigan school construction projects.
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Other files
| File | Type | Posted |
|---|---|---|
| Bid Ad.pdf | ||
| Final Bid Set.pdf | ||
| Iran-Sanctions Form.pdf | ||
| Final Spec Set.pdf |
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Text version
STATEMENT REGARDING FAMILIAL RELATIONSHIP
AFFIDAVIT OF _______________________________
(name of affiant)
STATE OF MICHIGAN
COUNTY OF _______________
______________________________makes this Affidavit under oath and states as follows:
1. I am a/the President Vice-President Chief Executive Officer Member Partner Owner Other (please specify) __________________________________
Of ____________________________________, a bidder on a construction project for (insert name of contractor)
_______________________________________ that involves, at least in part, construction (insert name of school district) of a new school building or an addition to or repair or renovation of an existing school building.
2. I have personal knowledge and/or I have personally verified that the following are all of the familial relationships existing between the owner(s) and employees(s) of the aforementioned contractor and the school district’s superintendent and/or board members
3. I have authority to bind the aforementioned contractor with the representations contained herein, and I am fully aware that the school district will rely on my representations in evaluating bids for the construction project.
4. I declare the above information to be true to the best of my knowledge, information and belief. I could completely and accurately testify regarding the information contained in this affidavit if requested to do so.
(signature of affiant)
Dated ___________________
Subscribed and sworn before me in ________________County, Michigan, on the ______day of _________________, 200__
______________________________________(signature)
_______________________________________(printed)
Notary public, State of Michigan, County of _______________
My commission expires on _____________________________
Acting in the County of ________________________________
File details come from the government source that posted it. Updated .