2-Attachment B - Child Support Form.pdf
PDF 714 KB Posted
- Attached to
- Design Services for Parks Headquarters Outdoor Target Range Development Grant Project Number WR-TX-W 25100
- Solicitation number
- 26-44
- Issued by
- Brazoria County, Texas
About this file
This is a Child Support Statement form required by the State of Texas under Section 231.006 of the Texas Family Code for negotiated contracts and grants. The form applies to the Design Services for Parks Headquarters Outdoor Target Range Development project in Brazoria County, Texas (Project Number WR-TX-W 25100). The document requires vendors and applicants to certify their eligibility to receive state funds by disclosing all individuals and business entities with ownership interests of 25% or greater, along with their respective ownership percentages. Proposers must confirm that neither they nor any listed owners are child support obligors delinquent more than 30 days in child support payments. The certification must be signed by a company official with their printed name, title, and date of submission.
The form serves as a compliance mechanism to ensure that only eligible entities receive state-funded payments under the contract. Any inaccuracies in the certification may result in contract termination and payment withhold. Child support obligors remain ineligible for state funds until all arrearages are paid or the obligor is in compliance with a written repayment agreement or court order. This requirement applies regardless of the contract's nature—whether for property, materials, services, grants, or loans—and represents a mandatory state-level compliance obligation for all proposing entities.
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Text version
CHILD SUPPORT STATEMENT FOR NEGOTIATED CONTRACTS AND GRANTS
Under Section 231.006, Family Code, the vendor or applicant certifies that the individual or business entity named in this contract, bid, or application is eligible to receive the specified grant, loan, or payment and acknowledges that this contract may be terminated and payment may be withheld if this certification is inaccurate.
Section 231.006, Family Code, specifies that a child support obligor who is more than 30 days delinquent in paying child support and a business entity in which the obligor is a sole proprietor, partner, shareholder, or owner with an ownership interest of at least 25% is not eligible to receive payments from state funds under a contract to provide property, materials, or services; or receive a state-funded grant or loan.
List below the name and ownership percentage of the individual or sole proprietor and each partner, shareholder, or owner with an ownership interest of at least 25% of the business entity submitting the bid or application.
NAME OWNERSHIP BY %
A child support obligor or business entity ineligible to receive payments described above remains ineligible until all arrearage have been paid or the obligor is in compliance with a written repayment agreement or court order as to any existing delinquency.
The undersigned proposer certifies that he or she, is the proposing individual, or the sole proprietor of the proposing business, and is eligible under Section 231.006 of the Texas Family Code, to receive the payments of State funds which may be disbursed in connection with a contract arising from this solicitation, The undersigned each further acknowledges that a contract resulting from this solicitation may be terminated and payment may be withheld if the certification provided herein is found to be inaccurate.
Signature – Company Official Printed/Type Firm Name
Printed/Typed Name and Title Date
25-29 Exhibit A Required Documents Page 37 of 49
| A. Definitions |
| J. By signing this contract or providing or causing to be provided a certificate of coverage, the contractor is representing to the governmental entity that all employees of the contractor who will provide services on the project will be covered by wo... |
| CONCERNING LABOR STANDARDS AND PREVAILING WAGE REQUIREMENTS |
| SIGNATURE OF COMPANY REPRESENTATIVE |
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