ESBD_387102_1734642290352_04. Texas Family Code Schedule.pdf
PDF 376 KB Posted
- Solicitation number
- 601440000046630
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Texas Family Code Schedule form required by the Texas Department of Transportation (TxDOT) as part of solicitation number 601440000046630. The form is dated September 27, 2023, and must be completed and returned with bid responses for the procurement of a Wet Process Station for the Materials and Tests Division. The form requires completion before the bid closing date of January 7, 2025, at 3:00 PM Central Time.
The schedule specifically addresses eligibility requirements related to child support obligations under Texas Family Code 231.006. Any individual or business entity with 25% or more ownership interest must disclose their names and social security numbers on the form. If the ownership criteria are not met, respondents must check a box indicating non-applicability. The form includes privacy act notices regarding the confidentiality of social security numbers and requires a signature and title from an authorized representative. Failure to complete and return this form may result in a bid being deemed non-responsive.
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Text version
Revised: September 27, 2023
1 - 1
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601440000046630
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 |
| Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts |
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