HomeMy WebLinkAboutHaywardLucas Affidavit Disclosure 2015 i
Hometown People. Hometown Power.
Mr. Chris Swope, Lansing City Clerk
City of Lansing
124 W. Michigan Avenue 9th Floor
Lansing, MI 48933
September 11, 2015
RE: BWL Affidavit of Disclosure
Dear Mr. Swope:
Attached please find an Affidavit of Disclosure prepared by Board of Water and Light employee,
Lucas Hayward.This document is being forwarded to your office for filing.
Respectfully submitted,
M. Denija q&i fpt
M. Denise Griffin
Corporate Secretary
Electronic CC: CFO Heather Shawa-DeCook and Lucas Hayward, BWL Principal Engineer
(Electronically submitted to Lansing City Clerk on 9-11-15)
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Hometown People. Hometown Power. v i i '•
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AFFIDAVIT OF DISCLOSURE
TO: LANSING BOARD OF WATER & LIGHT: DATE: 9/02/2015
OFFICE OF THE CORPORATE SECRETARY
I Lucas Hayward make the following disclosure under oath:
(Name)
PLEASE CHECK THE BOX AND FILL IN THE APPROPRIATE BLANKS FOR EACH OF THE
FOLLOWING ITEMS
Yes No
1. ® ❑ I am an employee of the Lansing Board of Water & Light (BWL)
holding the position of Principal Engineer in the
Electric System Integrity Engineering Department
❑ M I am an immediate family member related to an employee of the
BWL named holding the position of
in the
Department
❑ ® I am a Business Associate of an employee of the BWL named
holding the position of
in the
Department.
2. ❑ tg1 I may derive income or benefit directly or indirectly from the bidding of,
negotiation of, solicitation of or entry into a contract with the BWL
(disclosed below in item #4)
❑ IX I may have a conflict between a personal interest and the public
interest (disclosed below in item #4)
❑ ® I may have a financial interest in a matter proposed to be acted upon
by the BWL (disclosed below in item #4)
x ❑ I make this disclosure because of a possible appearance that I may be
in violation of or in conflict with the BWL Ethics policy
3. My BW L position is:
® Full-time❑ Part-time (less than 25 hours/wk) o Unpaid
4. PLEASE DESCRIBE IN DETAIL YOUR REASON(S)FOR SUBMITTING THIS
DISCLOSURE AND EXPLAIN WHY YOU THINK A CONFLICT MAY/MAY NOT EXIST.
I am submitting this disclosure due to the fact that my brother Joshua Hayward is employed by a
vendor(Kent Power)that will be bidding on work for the Board of Water and Light where I am employed.
I will not be involved in evaluating bids and awarding contracts for the type of work Kent Power performs.
I hereby certify that this disclosure is complete and accurate to the best of my
knowledge, information and belief.
The foregoing Affidavit of Disclosure was executed on this 9 day of
20-LS—.
i ed
State of Michigan, County of -,l a .r
Subscribed and sworn to before me this `tom day of ,i, , 20 tS
` Notary Public
County, Michigan
My Commission Expires:
SHONI GALATIAN
NOTARY PUBLIC-STATE OF MICHIGAN
COUNTY OF CLINTON
My Commission Ex its Mar.5.2017
Acting In the County of