Familial Relationship Disclosure.pdf
PDF 122 KB Posted
- Solicitation number
- MC04142025-INSTALLBF
- Issued by
- Saginaw County, Flint City, Michigan
About this file
The document is an Affidavit of Familial Relationship Disclosure form for the School District of Freeland, Michigan, which is part of a procurement process for installing filtered bottle filling stations. This form is a mandatory requirement for bidders, requiring disclosure of any familial relationships between the bidder's owners or employees and members of the School District of Freeland Board or Superintendent. The document stipulates that failure to return this notarized statement with the bid will result in automatic bid disqualification.
The affidavit provides a structured template for bidders to either list any existing familial relationships or check a box indicating no such relationships exist. The form must be completed, signed by an authorized representative, and notarized before submission. This disclosure is pursuant to Michigan Compiled Law (MCL) 380.1267 and is designed to ensure transparency and prevent potential conflicts of interest in the school district's procurement process. The form includes spaces for multiple relationship disclosures and requires the bidder to warrant the truthfulness of the provided information.
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Other files
| File | Type | Posted |
|---|---|---|
| Filter First Installation RFP.pdf |
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AFFIDAVIT FAMILIAL RELATIONSHIP DISCLOSURE
(MUST return completed and notarized with bid)
Pursuant to MCL 380.1267, 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 District of Freeland
Board or The School District of Freeland Superintendent must be accompanied with the bid. Failure to return this notarized statement/signature with the bid will result in bid disqualification.
The following are the familial relationship(s):
Owner/Employee Name Related to: Relationship
1.
2.
3.
4.
5.
Attach additional pages if necessary to disclose all familial relationships.
□ There is no familial relationship that exists between the owner or any employee of the bidder and any member of The School District of Freeland MI. Board, or The School District of Freeland MI.
Superintendent.
The undersigned, the owner or authorized representative of bidder (insert name) does hereby Represent and warrant that the disclosure statements herein contained are true.
Print Name Signature of Bidder Representative
Title
STATE OF MICHIGAN )
) ss
COUNTY OF )
This instrument was acknowledged before me on the day of , , By .
Notary Public
County, Michigan
My commission expires: / /
Acting in the County of:
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