ESBD_476090_1765573855632_04. Texas Family Code Schedule.pdf

PDF 100 KB Posted

Attached to
SmartSensor Advance, Matrix and Accessories
Solicitation number
601310000098160
Issued by
Texas

About this file

This is a Texas Family Code Schedule form required for a state contract solicitation (No. 601310000098160) related to SmartSensor Advance, Matrix and Accessories. The schedule serves as a compliance document to verify respondent eligibility to receive state grants, loans, or payments on state contracts under Texas Family Code Section 231.006 regarding child support obligations. Respondents must certify their eligibility and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. The form requires completion by the bidding entity, with all responses must include the names and Social Security numbers of any individual or business entity holding at least twenty-five percent ownership interest in the submitting business entity.

The schedule mandates that respondents complete ownership information for each principal with the specified ownership threshold, or alternatively check a box if the ownership criteria do not apply. Completion and return of this signed schedule is mandatory, as failure to submit it with the response may result in the bid being deemed non-responsive. The Social Security numbers collected are governed by the Federal Privacy Act and will be used solely to identify persons who may owe child support obligations, with information kept confidential to the extent permitted under Texas Family Code Section 231.302(e).

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Revised: September 27, 2023

1 - 1

TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601310000098160

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.

File details come from the government source that posted it. Updated .