Child_Support_compliance.doc
DOC document 35 KB Posted
- Attached to
- Appraisal Review RFP
- Solicitation number
- 145602
- Issued by
- Lucas County, Ohio
About this file
This file is a Court-Ordered Child Support Compliance Affidavit form established by the City of Toledo, Ohio, pursuant to Administrative Policy and Procedure #53 enacted on August 20, 1999. The affidavit applies to all City of Toledo contracts valued over $10,000 and requires vendors to disclose any individual owners or shareholders with twenty-five percent or greater vested interest in the company who are subject to court-ordered child support decrees. Vendors must provide certification from the appropriate authority demonstrating that any identified individuals are in substantial compliance with court-ordered child support obligations, defined as either being current on payments or having entered into an agreement within the past thirty days to satisfy delinquency and ensure future payments. The form requires notarization and must be submitted as part of the City Paperwork Packet for consideration in the Appraisal Review RFP bid process.
The affidavit serves as a mandatory compliance document that vendors must complete and submit to the City of Toledo. The form includes spaces for the authorized officer to list the names, addresses, social security numbers, dates of birth, and case numbers of any applicable individuals subject to child support orders. If no individuals are subject to such orders, the affiant must initial the designated section. Any listed shareholders or owners must be provided copies of certificates of substantial compliance and instructed to complete and return them with the bid or proposal. The affidavit must be sworn before a notary public and submitted with all other required documentation for contract consideration.
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Text version
Form J
CITY OF TOLEDO
COURT ORDERED CHILD SUPPORT COMPLIANCE
On August 20,1999, the City of Toledo passed Administrative Policy and Procedure #53 which requires all contracts over $10,000 to contain an affidavit from the vendor listing the name and address of any individual owner or shareholder with twenty-five (25) percent or greater vested interest in said company who is subject to a court-ordered child support decree.
For any individual identified as subject to a court-ordered decree, the vendor must submit a certification from the appropriate authority that said individual is in substantial compliance with any court-ordered child support. Substantial compliance means the individual is current regarding court-ordered child support obligations or has entered into an agreement within the past thirty (30) days with the appropriate authority to satisfy any delinquency and assure future payments.
COURT-ORDERED CHILD SUPPORT
COMPLIANCE AFFIDAVIT FOR BUSINESSES
CITY OF TOLEDO
) ss:
COUNTY OF LUCAS
being first duly sworn, deposes and says that Authorized Officer he/she is of
(Title)
Company Name the party making the foregoing proposal or bid; that according to my knowledge, based upon company records and/or information that has come to be known to me personally, no individual owner or shareholder with twenty-five (25) percent or greater vested interest in
(Company Name) is subject to a court-ordered or administrative support ordered support decree in Ohio or any other state, except as indicated as follows:
If none, initial here or
| Name |
| Name |
| Address |
| Address |
| City, State, Zip |
| City, State, Zip |
| Social Security No. |
| Social Security No. |
| Date of Birth |
| Date of Birth |
| Case No. |
| Case No. |
(If additional space is needed, please make a copy and notarize each page.)
Any above listed shareholders or owners have been provided a copy of the attached Certificate of Substantial Compliance with Child Support, and instructed as how to complete and return for inclusion in bid or proposal. (Attached).
Company Name
Affiant:
Sworn and subscribed before me this day of
, 20__.
(NOTARY SEAL)
Notary Public
Revised 3/11
Revised 3/11
File details come from the government source that posted it. Updated .