ESBD_473714_1764972504884_04. Texas Family Code Schedule.pdf
PDF 334 KB Posted
- Solicitation number
- 601440000050588
- Issued by
- Texas
About this file
This is a Texas Family Code Schedule form required for Solicitation No. 601440000050588 related to a Clary Uninterruptible Power Supply (UPS) Systems and Accessories contract opportunity in Texas. The schedule serves as a certification of eligibility to receive state grants, loans, or payments on state contracts under Texas Family Code Section 231.006, which addresses child support obligations. All respondents must complete and return the form signed, acknowledging that the contract may be terminated and payment withheld if the certification is inaccurate. Failure to sign and return this schedule may result in the response being considered non-responsive and disqualify the submission.
Respondents with at least twenty-five percent ownership interest in the business entity must provide the names and Social Security numbers of all owners meeting this threshold. For those not meeting the ownership criteria, respondents should check the applicable box and sign the schedule. The form includes a Federal Privacy Act Notice explaining that disclosure of Social Security numbers is required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) to identify individuals who may owe child support obligations, with the information kept confidential to the fullest extent permitted by law. This schedule must be included in all contract responses and represents a mandatory compliance requirement for participation in this state procurement opportunity.
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Text version
Revised: September 27, 2023
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TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601440000050588
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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