ESBD_473481_1764886920671_04. Texas Family Code Schedule.pdf

PDF 329 KB Posted

Attached to
Trailer Mounted Attenuators for the TxDOT Brownwood District.
Solicitation number
601310000099077
Issued by
Burleson County, Texas

About this file

This is a Texas Family Code Schedule compliance document required for Solicitation No. 601310000099077 related to the procurement of Trailer Mounted Attenuators for the TxDOT Brownwood District. The schedule serves as a certification form that respondents must complete, sign, and return with their proposals to establish eligibility to receive state grants, loans, or payments on state contracts. Under Texas Family Code Section 231.006, all respondents and any individuals or business entities named in the solicitation must certify their compliance with child support obligations. The document requires respondents to disclose the names and Social Security numbers of all persons or entities holding at least twenty-five percent ownership interest in the business entity submitting the response. Failure to sign and return this completed schedule may result in the response being deemed non-responsive and ineligible for consideration.

The Social Security numbers collected through this schedule are used solely to identify individuals who may owe child support obligations and will be maintained confidentially to the fullest extent permitted under Texas Family Code Section 231.302(e). Respondents who do not meet the ownership criteria requiring disclosure may check an applicable box to indicate the schedule is not applicable to their entity. This is a mandatory compliance document, and the accurate completion and timely submission of this form is a prerequisite for any proposal submission under this solicitation.

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Text version

Revised: September 27, 2023

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601310000099077

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.

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