Familial Disclosure Form.pdf
PDF 399 KB Posted
- Attached to
- Gates parking lot expansion
- Solicitation number
- RFP DCS 260000002527 1
- Issued by
- Genesee County, Michigan
About this file
Familial Disclosure Form Summary
This Familial Disclosure Form is a compliance document related to the Gates parking lot expansion project in Michigan. The form serves as a disclosure mechanism requiring parties involved in the contract opportunity to identify any familial relationships that may create conflicts of interest or require special consideration under state procurement regulations. The document establishes the framework for transparency regarding personal connections between bidders, contractors, or their representatives and government officials or other decision-makers involved in the procurement process. No specific project timeline, quantities, response dates, or contractual terms are outlined within this disclosure form, as its primary function is to address conflict-of-interest protocols rather than project specifications.
The form does not contain pricing information, set-asides, incumbent details, or funding sources, as these elements are typically addressed in separate procurement documents. Instead, the Familial Disclosure Form focuses exclusively on requiring accurate reporting of any family relationships that could influence the bidding process or contract award. Completion and submission of this form is generally a mandatory requirement for participation in the state or local contract opportunity, ensuring compliance with Michigan's procurement regulations and maintaining the integrity of the competitive bidding process.
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Text version
FAMILIAL DISCLOSURE FORM
Davison Community Schools
Davison, Michigan
SECTION 004200.1
FAMILIAL DISCLOSURE FORM
AFFIDAVIT OF BIDDER - #1
The undersigned, the owner or authorized officer of ____________________ (the “Bidder”), pursuant to the familial disclosure requirement provided in the _____________________ (the “School District”) advertisement for construction bids, hereby represent and warrant, except as provided below, that no familial relationships exist between the owner(s) or any employee of ______________________ and any other member of the Board of Education of the School District or the Superintendent of the School District.
List any Familial Relationships:
Name: __________________________________ Relation: _______________________________
Bidder: _________________________
By: _____________________________
Its: _____________________________
Date:____________________________
STATE OF MICHIGAN_________ )
) ss
COUNTY OF __________________)
This instrument was acknowledged before me on the ______ day of _____________ in the year
_________, by ________________________________.
Notary Public
______________________ County, Michigan
My Commission Expires: ________________
Acting in the County of: ________________
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