GISD Device Refresh RFP 2020 - 04.pdf
PDF 13 KB Posted
- Attached to
- GISD Device Refresh
- Solicitation number
- RFP GIS 200000001143 1
- Issued by
- Genesee County, Michigan
About this file
This is a Familial Relationship Disclosure Statement form required by the Genesee Intermediate School District (GISD) located in Flint, Michigan, for the Device Refresh RFP 2020-04 procurement. The document mandates that all bidders submit a sworn and notarized statement disclosing any familial or business relationships between the bidder, its employees, and members of the GISD Board of Education, the District Superintendent, or other District officials. Bids that do not include this completed and notarized disclosure statement will not be accepted. The form requires contractors and vendors to provide their name, address, contact information, and a detailed statement of any business or familial relationships with District personnel.
The disclosure statement must be signed by an authorized representative of the contractor or vendor and notarized by a Notary Public in the appropriate county. The notarization must include the county name, date, state, and the notary's signature and commission expiration date. This requirement is mandated under Public Act 232 of 2004 and serves as a compliance mechanism to ensure transparency and prevent conflicts of interest in the bidding process for the Device Refresh procurement opportunity.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
GENESEE INTERMEDIATE SCHOOL DISTRICT
ERWIN L. DAVIS EDUCATION CENTER
2413 WEST MAPLE AVENUE
FLINT, MI 48507-3493
PUBLIC ACT 232 OF 2004
FAMILIAL RELATIONSHIP DISCLOSURE STATEMENT
All bids must be accompanied by a sworn and notarized statement disclosing any familial, or other business relationship existing between the bidder (respondent to this Bid) and all employees of the bidder and any member of the Genesee Intermediate School District Board of Education, the Superintendent of the District and/or any other official of the District. Any bids that do not include this sworn and notarized statement shall not be accepted.
Owner Name & Address:
Genesee Intermediate School District 2413 West Maple Avenue
Flint, MI 48507-3493
Contractor/Vendor/Respondent Information:
Name: ______________________________________________________________________
Address: ____________________________________________________________________
Contact Number: ______________________________________________________________
Statement of Business or Familial Relationship:
Person Authorized to Bind the Contractor/Vendor/Respondent:
Print Name Title
Signature Date
Seal:
This instrument was acknowledged before me, a Notary Public, in and for ___________________________ County, _____________________ on this _________ day of ________________________, 20_________.
State
Notary Public Signature Date
My Commission Expires: _______________________
Acting in the County of: ________________________
Attachment C
File details come from the government source that posted it. Updated .