Familial Relationship disclosure (1).doc
DOC document 26 KB Posted
- Solicitation number
- RFP - MNA - 200000000081
- Issued by
- Wayne County, Menominee City, Michigan
About this file
The document provided is a Familial Relationship Disclosure Statement required for a bid submission to the Melvindale-Northern Allen Park Public Schools in Wayne County, Michigan. The school district is seeking bids for an Interactive Display and Audio Enhancement System. Sealed bids are due on October 30th at 2pm and must be delivered to the attention of Dave Patterson. The supporting documentation, including the Familial Relationship Disclosure Statement, must be signed and enclosed with the sealed bid. The district reserves the right to reject any and all bids.
The Familial Relationship Disclosure Statement requires the bidder to disclose any familial relationships that exist between the owner or any employee of the bidding company and any member of the Board of Education or Superintendent of Schools of the Melvindale-Northern Allen Park Public Schools. The statement must be signed, notarized, and submitted with the bid. If a familial relationship exists, the bidder is required to explain the nature of the relationship.
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Other files
| File | Type | Posted |
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| Iran Linked Business Affidavit.pdf | ||
| Iran Linked Business Affidavit (1).pdf | ||
| Familial Relationship disclosure.doc | DOC document | |
| RFP interactive display and audio enhancement system (1).docx | DOCX document | |
| RFP interactive display and audio enhancement system.docx | DOCX document |
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Text version
FAMILIAL RELATIONSHIP
DISCLOSURE STATEMENT
(This disclosure statement must be included with your bid as required by Public Act 232 of 2004)
All bids shall be accompanied by a sworn and notarized statement disclosing any familial relationship that exists between the owner or any employee of the bidder and any member of the Board of Education or Superintendent of Schools of the following participating school districts:
Melvindale-Northern Allen Park Public Schools
The undersigned, the owner or authorized officer of _______________________________________ (the “bidder”), pursuant to the familial disclosure requirement provided in the attached invitation to bid, hereby represent and warrant, except as provided below, that no familial relationships exist between the owner(s) or any employee of the company and any members of the Boards of Education and Superintendent of Schools as listed above. If such a relationship exists, please explain:
By: ________________________________________________________(Bidder’s signature)
Name: _______________________________________________________(type or print)
Date: _________________________________
Subscribed and Sworn to Before Me:
This ______________ day of ____________________, 20__ A.D., in and for the County of
____________________, Michigan. My commission expires: _________________________.
__________________________________ Signature of Notary
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