Familial Relationship disclosure.doc
DOC document 26 KB Posted
- Solicitation number
- RFP MNA 200000000081 2
- Issued by
- Michigan
About this file
This is a Familial Relationship Disclosure Statement required by Public Act 232 of 2004 for bids submitted to Melvindale-Northern Allen Park Public Schools. All bidders must complete and submit this sworn and notarized statement as a mandatory attachment to their bid proposals. The document requires the bidder's owner or authorized officer to disclose any familial relationships existing between the owner, any employees of the bidding company, and any members of the Board of Education or Superintendent of Schools for the participating school district. Bidders must certify under oath that no such relationships exist, or alternatively, provide a detailed explanation of any familial relationships that do exist.
The statement must be notarized before submission and include the bidder's signature, printed name, date, and the notary's signature and commission expiration date. This disclosure requirement applies uniformly to all bidders regardless of bid amount or service type and serves as a compliance and transparency mechanism to prevent conflicts of interest in the procurement process for Melvindale-Northern Allen Park Public Schools.
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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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