5-State Assessment Certification.pdf

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Attached to
Pre-Eligibility Services – Child Care Formula (CCF)
Solicitation number
FY26004RFQuote
Issued by
El Paso County, Texas

About this file

This is a State Assessment Certification attachment required by Workforce Solutions Alamo for applicants seeking contract opportunities with the State of Texas, specifically related to the Pre-Eligibility Services – Child Care Formula (CCF) program. The certification document requires applicants to verify their compliance with multiple state obligations prior to contract award. Applicants must attest that they are current in Unemployment Insurance taxes, Payday and Child Labor Law monetary obligations, and Proprietary School fees and assessments payable to the State of Texas, and that they maintain no outstanding Unemployment Insurance overpayment balances due to the state. The certification is signed by an authorized representative of the applicant organization and includes standard fields for the organization name, representative name and title, and date of certification.

The certification serves as a prerequisite condition for contract eligibility and represents a compliance verification mechanism rather than a pricing or service delivery document. Applicants who make false statements in this certification will be ineligible for contracting with Workforce Solutions Alamo. The Pre-Eligibility Services – Child Care Formula opportunity for which this certification is required involves supporting Child Care Services administration through application review, documentation verification, and income calculation validation to ensure compliance with Texas Workforce Commission and Child Care Services eligibility requirements prior to determination. These pre-eligibility services are funded through Child Care Formula resources and are designed to improve program performance in timeliness, accuracy, and compliance while reducing incomplete or delayed applications.

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ATTACHMENT F

STATE ASSESSMENT CERTIFICATION

Applicant must certify that they are current in all Unemployment Insurance taxes, Payday and Child Labor Law monetary obligations, and Proprietary School fees and assessments payable to the State of Texas.

Applicants must also certify that they have not outstanding Unemployment Insurance overpayment balances due to the State of Texas.

The undersigned authorized representative of the Applicant certifies that the following statements are true and correct and that the undersigned understands that making a false statement will prevent Workforce Solutions Alamo from contracting with the organization.

The corporation certifies, by checking the boxes below, that:

It is current in Unemployment Insurance taxes, Payday and Child Labor Law monetary obligations, and Proprietary School fees and assessments payable to the State of Texas.

It has no outstanding Unemployment Insurance overpayment balance payable to the State of Texas.

Signature of Authorized Representative Name of Applicant’s Organization

Name and Title of Authorized Representative

Date

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