ESBD_479805_1767047437952_03. Texas Family Code Schedule.docx
DOCX document 31 KB Posted
- Solicitation number
- 601330000045107
- Issued by
- Galveston County, Texas
About this file
This is a Texas Family Code Schedule certification form required by the State of Texas for Solicitation No. 601330000045107 related to propulsion system parts for TxDOT's Galveston Ferry Operations. The document establishes eligibility requirements under Texas Family Code Section 231.006, which addresses child support obligations. Respondents must certify that they and any other individuals or business entities named in the solicitation are eligible to receive payment under the contract, and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. The form requires disclosure of names and Social Security numbers for any person or business entity holding at least twenty-five percent ownership interest in the responding business entity.
The schedule must be completed, signed, and returned with the bid response, with failure to do so potentially resulting in the response being deemed non-responsive. Respondents who do not meet the ownership criteria outlined in Texas Family Code Section 231.006 must check an applicable box and return the signed schedule. Social Security numbers disclosed on this form are required by law and will be kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e), as they will be used to identify individuals who may owe child support obligations.
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Other files
| File | Type | Posted |
|---|---|---|
| ESBD_479805_1767047382989_01. IFB Solicitation 601330000045107.pdf | ||
| ESBD_479805_1767047364802_Instructions to Respondents.docx | DOCX document | |
| ESBD_479805_1767047467099_Bid Table 601330000045107.xlsx | XLSX spreadsheet | |
| ESBD_479805_1767047399874_02. Execution of Bid.docx | DOCX document |
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Text version
September 27, 2023
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601330000045107
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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