Familial Relationship Disclosure.docx
DOCX document 15 KB Posted
- Attached to
- High School Roof Replacement
- Solicitation number
- RFP MASO 260000002613 1
- Issued by
- Genesee County, Edmore Village, Michigan
About this file
This is a Familial Relationship Disclosure Statement required by Mason Consolidated Schools in compliance with Michigan Public Act 232 of 2004. The document mandates that all bidders submit a sworn and notarized statement disclosing any familial relationships between the bidder's owner or employees and members of the School Board or the Superintendent of Mason Consolidated Schools. The disclosure statement serves as a compliance requirement that must accompany all bids submitted to the district. Bidders are required to represent and warrant that no familial relationships exist between their company's ownership or staff and district leadership, or alternatively, provide a detailed explanation of any such relationships if they do exist.
The document requires bidders to complete the form with their company name, authorized representative signature, title, and notarization by a Michigan notary public. The notarized statement must include the date of acknowledgment, county of notarization, notary commission expiration date, and the county in which the notary is acting. This disclosure is a mandatory submission component of the bidding process and is enforced as a state law requirement to ensure transparency and prevent conflicts of interest in procurement decisions.
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FAMILIAL RELATIONSHIP DISCLOSURE STATEMENT
Important: This disclosure statement must be included with your bid - required by state law (P.A. 232 of 2004) 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 School Board or the Superintendent of Mason Consolidated 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 member of the School Board or the Superintendent of Mason Consolidated Schools. If such a relationship exists, please explain:
BIDDER:_____________________________
By:_________________________________ Title:_______________________________
STATE OF MICHIGAN )
)ss.
COUNTY OF _______________ )
This instrument was acknowledged before me on the _____ day of ____________, 20___, by , Notary Public _____________________County, Michigan
My Commission Expires:________________ Acting in the County of:________________
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