ESBD_466789_1762204319717_03. Texas Family Code Schedule.docx

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Attached to
Water Separator Filters for Galveston Ferry Office
Solicitation number
601330000044616
Issued by
Galveston County, Garland City, Texas

About this file

This is a Texas Family Code Schedule certification document issued by the State of Texas under Solicitation No. 601330000044616, effective September 27, 2023. The schedule serves as a compliance certification requirement for respondents participating in this state contract opportunity. Respondents must complete and return this form with their proposal submission to verify eligibility to receive state payments under Texas Family Code Section 231.006, which relates to child support obligations. The document requires respondents and any individuals or business entities named in the solicitation to certify their eligibility, with acknowledgment that the contract may be terminated and payment withheld if the certification is inaccurate. Failure to sign and return this completed page may result in the response being deemed non-responsive.

Respondents must provide names and Social Security numbers for all persons or entities holding at least a twenty-five percent ownership interest in the business entity submitting the response. The form provides space for up to three owners' information. If the respondent does not meet the ownership criteria under Texas Family Code Section 231.006, they must check the applicable box, sign, and return the schedule. Social Security numbers are required under state law for child support verification purposes and will be kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). This schedule is a mandatory attachment to all responses and must be signed by an authorized representative with their title clearly indicated.

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Text version

September 27, 2023

TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601330000044616

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-
NameSocial Security Number
XXX-XX-
NameSocial Security Number
XXX-XX
NameSocial 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.

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