ESBD_393680_1738279502185_04. Texas Family Code Schedule.pdf
PDF 204 KB Posted
- Solicitation number
- 601440000046972
- Issued by
- Travis County, Austin City, Texas
About this file
This file is a Texas Family Code Schedule form (Solicitation No. 601440000046972) required by the Texas Department of Transportation (TxDOT) for their Environmental Thermal Chamber procurement. The form requires respondents to certify their eligibility to receive state payments under Family Code §231.006, which relates to child support obligations. The document must be completed, signed, and returned with the bid response, with failure to do so potentially resulting in the response being considered non-responsive.
The form requires businesses with 25% or greater ownership interest to provide names and social security numbers of qualifying owners, or to check a box indicating the schedule is not applicable. The document includes a Federal Privacy Act Notice explaining that SSNs will be used to identify persons who may owe child support and will be kept confidential under Texas Family Code Section 231.302(e). This form appears to be a standard compliance document that must accompany the main bid submission for the environmental chamber procurement.
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Text version
Revised: September 27, 2023
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TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601440000046972
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 |
File details come from the government source that posted it. Updated .