Familial Disclosure Statement.pdf

PDF 88 KB Posted

Attached to
Electrical Gear Replacement State and local contract opportunity
Solicitation number
RFP SPSD 260000002063 1
Issued by
Michigan

About this file

This is a Familial Disclosure Statement required by the School District of the City of Saginaw in Michigan for bidders participating in the Electrical Gear Replacement contract opportunity. The document is a sworn and notarized certification in which bidders must confirm whether any familial relationships exist between the bidder's owner or employees and members of the Board of Education or the Superintendent of the School District. The statement requires bidders to disclose the names of any owner or employee, the related individual, and the nature of the relationship, or to certify that no such familial relationships exist.

The document must be completed, signed by an authorized representative of the bidding company, and notarized before submission. The notary public must certify the county in which the statement was sworn, the date, and the signature of the declarant, along with the notary's commission expiration date. This disclosure requirement is designed to ensure compliance with conflict-of-interest standards and maintain transparency in the bidding process for school district procurement activities.

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File Type Posted
Electrical Gear Replacement - SCC.pdf PDF
Iran Business Relationship Affidavit.pdf PDF

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Text version

Sworn and Notarized Familial Disclosure Statement

The undersigned, the owner or authorized officer of __________________________________ (the

“Bidder”), hereby represents and warrants except as provided below, that no familial relationships exist between the owner or any employee of the bidder and any member of the Board of Education or the

Superintendent of the School District of the City of Saginaw.

The following are the familial relationship(s)

Owner/Employee Name: Related To: Relationship:

There are no familial relationships that exist between the owner or employee(s) of the Bidder.

BIDDER:

By: __________________________________

Printed Name & Title:

STATE OF MICHIGAN )

)ss.

COUNTY OF _______________)

Subscribed and sworn before me, this _________ day of __________________, 20____, in and for

________________________ County, Michigan by ____________________________________________________

(Signature) NOTARY PUBLIC

My Commission Expires _________________________________

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