Familial Disclosure Form.pdf
PDF 399 KB Posted
- Attached to
- Gates parking lot expansion
- Solicitation number
- RFP DCS 260000002527 2
- Issued by
- Michigan
About this file
This is a Familial Disclosure Form required by Davison Community Schools in Davison, Michigan for construction bidders. The form serves as an affidavit in which bidders must certify that no familial relationships exist between the bidder's owners or employees and members of the School District's Board of Education or the Superintendent. Bidders are required to disclose any familial relationships that do exist, providing the name and relationship of each individual connected to board members or district leadership. The form must be completed by an authorized officer or owner of the bidding entity, signed, and notarized before a Michigan notary public to verify the accuracy of the disclosure.
This familial disclosure requirement is standard practice in public procurement to ensure competitive integrity and prevent conflicts of interest in the bidding process for the Gates parking lot expansion project. Failure to comply with this disclosure requirement or misrepresentation of familial relationships may result in bid disqualification or other remedies available to the school district.
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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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