Familial Relationship Disclosure.pdf
PDF 122 KB Posted
- Attached to
- Roof Replacement - Freeland High School
- Solicitation number
- MC05082025FCSD
- Issued by
- Saginaw County, Flint City, Michigan
About this file
The document is an Affidavit Familial Relationship Disclosure form for The School District of Freeland in Michigan, specifically related to a roof replacement project at Freeland High School. The form is a mandatory requirement pursuant to Michigan Compiled Law (MCL) 380.1267, which requires bidders to disclose any familial relationships between the bidder's owners or employees and members of the school district's board or superintendent. Failure to complete and return this notarized statement with the bid will result in automatic bid disqualification.
The form provides a structured template for bidders to either list any existing familial relationships or check a box indicating no such relationships exist. The document includes spaces for documenting specific relationships, with room for multiple entries, and requires the bidder's representative to sign and have the disclosure notarized. This disclosure is a procedural mechanism to ensure transparency and prevent potential conflicts of interest in the bidding process for the school district's roof replacement project.
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Text version
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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