Familial Relationship disclosure.doc
DOC document 26 KB Posted
- Attached to
- RFP for Copy Machines
- Solicitation number
- RFP - MNA - 200000000082
- Issued by
- Wayne County, Menominee City, Michigan
About this file
This document is a Familial Relationship Disclosure Statement required for a bid on a Request for Proposal (RFP) issued by the Melvindale-Northern Allen Park Public Schools in Michigan for Copy Machines. The RFP is seeking sealed bids that must be submitted by Thursday, October 31 at 2:00pm to Dave Patterson at the Melvindale-Northern Allen Park Public Schools Board of Education office. The district reserves the right to reject any and all bids.
The disclosure statement requires bidders to declare if any familial relationships exist between the bidder's owner/employees and the members of the Melvindale-Northern Allen Park Public Schools Board of Education or Superintendent of Schools. The statement must be signed, notarized, and submitted with the bid. No other pricing, set-aside, incumbent, or funding details are provided in this document.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP for Copy Machines.docx | DOCX document | |
| Iran Linked Business Disclosure for copy machine rfp.pdf |
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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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