Familial Disclosure Statement.pdf
PDF 88 KB Posted
- Attached to
- Electrical Gear Replacement State and local contract opportunity
- Solicitation number
- RFP SPSD 260000002063 2
- Issued by
- Michigan
About this file
This is a Familial Disclosure Statement required by the School District of the City of Saginaw, Michigan for bidders on the Electrical Gear Replacement contract opportunity. The document is a sworn and notarized certification in which the bidder owner or authorized officer attests that no familial relationships exist between the bidder's owner or employees and any member of the Board of Education or the Superintendent of the School District of the City of Saginaw, except as specifically disclosed. The statement requires identification of the bidder entity, signature and printed name with title of the authorized representative, and notarization by a notary public with county jurisdiction and commission expiration date.
The statement serves as a conflict-of-interest disclosure mechanism to ensure bidder impartiality and compliance with the school district's procurement standards. Bidders must either confirm the absence of familial relationships or provide detailed disclosure of any such relationships including the names of the owner or employee, the related board member or superintendent, and the nature of the relationship. This certification is a standard prerequisite for bid submission and evaluation in the procurement process.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Iran Business Relationship Affidavit.pdf | ||
| Electrical Gear Replacement Add#1.pdf | ||
| Electrical Gear Replacement - SCC.pdf | ||
| Electrical Gear Replacement Add#2.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 .