ESBD_370415_1722538235850_04. Texas Family Code Schedule.pdf
PDF 128 KB Posted
- Attached to
- Pavement Marking Wheel Load Simulator
- Solicitation number
- 601440000045506
- Issued by
- Travis County, Austin City, Texas
About this file
The document provided is a Texas Family Code Schedule for Solicitation No. 601440000045506 related to the Pavement Marking Wheel Load Simulator contract opportunity issued by the Texas Department of Transportation (TxDOT). The schedule requires the respondent to certify their eligibility to receive state grants, loans, or payments on state contracts by providing information on child support obligations and ownership interests. The contract opportunity is for the purchase of one (1) pavement marking wheel load simulator for the TxDOT Materials and Tests Division in Austin, Texas. The response is due on the opening date specified on the posting, and all information related to the solicitation will be posted on the website.
The schedule also includes a Federal Privacy Act notice regarding the disclosure of social security numbers as required under the Texas Family Code. Respondents who do not meet the ownership criteria can check a box indicating the schedule is not applicable and return the signed document.
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Text version
Revised: September 27, 2023
1 - 1
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601440000045506
Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts Respondent shall fill out the appropriate information, sign and return the schedule.
Under Family Code §231.006, relating to child support obligations, Respondent and any other individual or business entity named in this solicitation are eligible to receive the specified payment and acknowledge that this contract may be terminated and payment withheld if this certification is inaccurate. Any response submitted under this solicitation shall contain the names and social security numbers of person or entity holding at least a twenty-five percent ownership interest in the business entity submitting the response.
Respondents meeting the ownership must complete the following:
XXX-XX-
Name Social Security Number
XXX-XX-
Name Social Security Number
XXX-XX
Name Social Security Number
If respondent does not meet the ownership criteria under Texas Family code - Section 231.006, check the box below, sign and return the schedule.
This Schedule is not applicable
FEDERAL PRIVACY ACT NOTICE: This notice is given pursuant to the Federal Privacy Act. Disclosure of your Social Security (SSN) is required under Section 231.006(c) and Section 231.302(c)(2) of the Texas Family Code. The SSN will be used to identify persons that may owe child support. The SSN will be kept confidential to the fullest extent allowed under Section 231.302(e), Texas Family Code.
Signature
Title
THIS PAGE MUST BE RETURNED WITH THE RESPONSE. FAILURE TO SIGN AND RETURN THIS
PAGE MAY RESULT IN THE RESPONSE BEING CONSIDERED NON-RESPONSIVE.
Texas Family Code Schedule
File details come from the government source that posted it. Updated .