ESBD_489771_1771019189195_05 Texas Family Code Schedule.pdf

PDF 332 KB Posted

Attached to
Limestone Rock Asphalt Cold Mix for the Beaumont District
Solicitation number
601330000045859
Issued by
Liberty County, Texas

About this file

This is a Texas Family Code Schedule document required for solicitation number 601330000045859 in the State of Texas. The schedule serves as a certification form that respondents must complete, sign, and return with their proposals to demonstrate eligibility to receive state grants, loans, or payments on state contracts. The document requires respondents to provide names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the submitting organization. Respondents who do not meet the ownership criteria under Texas Family Code Section 231.006 may check an applicable box to indicate the schedule is not applicable. Failure to sign and return the completed schedule may result in the response being deemed non-responsive.

The Social Security numbers requested are used to identify individuals who may owe child support obligations, as required under Texas Family Code Sections 231.006(c) and 231.302(c)(2). Per the Federal Privacy Act Notice, the SSN information will be kept confidential to the fullest extent allowed under Section 231.302(e) of the Texas Family Code. The contract may be terminated and payment withheld if the certification provided by the respondent is determined to be inaccurate. This schedule is a mandatory submission requirement and must accompany all responses to the solicitation.

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Text version

Revised: 12/22/25

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601330000045859

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 certifies that the 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 .