FAMILIAL RELATIONSHIP DISCLOSURE STATEMENT.docx
DOCX document 14 KB Posted
- Solicitation number
- RFP MNA 260000002642 1
- Issued by
- Wayne County, Michigan
About this file
This is a Familial Relationship Disclosure Statement used by a state or local government entity to identify potential conflicts of interest related to family connections among bidders, contractors, and government personnel involved in procurement processes. The document serves as a transparency mechanism requiring disclosure of any familial relationships between individuals participating in contract opportunities, including bidders, bid evaluators, procurement staff, and decision-makers. The statement establishes a standardized format for documenting such relationships to ensure compliance with ethics regulations and to maintain the integrity of the competitive bidding process. The disclosure requirement applies to all parties involved in the contract opportunity from initial bid submission through contract award and performance.
The statement requires comprehensive identification of family members, definition of familial relationships (typically including spouse, parents, children, and siblings), and detailed information about the nature of any disclosed relationships. Bidders and government personnel must certify the accuracy of their disclosures under penalty of perjury or applicable law. The document is typically submitted as part of bid packages or prior to participation in procurement activities and may result in disqualification of bids, removal of evaluators, or other corrective actions if undisclosed or prohibited relationships are discovered. This disclosure mechanism is fundamental to state and local procurement compliance, supporting anti-corruption efforts and ensuring fair competition among bidders.
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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 Melvindale Northern Allen Park 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 Melvindale Northern Allen Park 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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