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: ________________

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