HomeMy WebLinkAboutHaywardMegan Affidavit Disclosure 2015 RECEIVED
4 21315 SEP I I AM I0: L
Hometown People. Hometown Power. L i 'HI S I I`W G CITY CL t.i,,
AFFIDAVIT OF DISCLOSURE
TO: LANSING BOARD OF WATER & LIGHT: DATE: 9/03/2015
OFFICE OF THE CORPORATE SECRETARY
I Megan 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. El ❑ I am an employee of the Lansing Board of Water & Light (BWL)
holding the position of Project Manager in the
Project Engineering Department
❑ N 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. ❑ x 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)
❑ N I may have a financial interest in a matter proposed to be acted upon
by the BWL (disclosed below in item #4)
N ❑ 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 BWL position is:
® Full-time❑ Part-time (less than 25 hours/wk) ❑ 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-in-law 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 c7 day of Itwt bev
20 /5 . 7Signed
State of Michigan, County of
Subscribed and sworn to before me this `I'-" day of S ,I�r , 20 is
Notary Public
County, Michigan
My Commissiontxpires: s,
SHONI GALATIAN
NOTARY PUBLIC-STATE OF MICHIGAN
COUNTY OF CLINTON
My Commission Expires Mar.5,2017
Acting in the county of
-- 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,
Megan Hayward.This document is being forwarded to your office for filing.
Respectfully submitted,
At.1)eniia(4fin
M. Denise Griffin
Corporate Secretary
Electronic CC: CFO Heather Shawa-DeCook and Megan Hayward, BWL Project Manager
(Electronics Ily submitted to Lansing City Clerk on 9-11-15)