ESBD_498680_1774026143753_05. Texas Family Code Schedule.pdf
PDF 419 KB Posted
- Attached to
- Concrete Repair Materials
- Solicitation number
- 601310000101175
- Issued by
- Texas
About this file
This is a Texas Family Code Schedule form required for Solicitation No. 601310000101175 related to a Concrete Repair Materials contract opportunity in Texas. The schedule serves as a certification document regarding eligibility to receive state grants, loans, or payments on state contracts under Texas Family Code Section 231.006, which pertains to child support obligations. Respondents must complete the form by providing names and Social Security numbers for any individual or business entity holding at least twenty-five percent ownership interest in the submitting business entity. Alternatively, if the respondent does not meet the ownership criteria under Texas Family Code Section 231.006, they may check a box indicating that the schedule is not applicable. The completed and signed schedule must be returned with the bid response, as failure to do so may result in the response being deemed non-responsive.
The form requires respondents to certify that the named individual or business entity is eligible to receive the specified payment and acknowledges that the contract may be terminated and payment withheld if the certification is inaccurate. Social Security numbers are collected pursuant to the Federal Privacy Act for purposes of identifying persons who may owe child support obligations, and this information will be kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). The schedule must be signed by an authorized representative and includes their title. This document is a mandatory compliance requirement for participation in the solicitation process.
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Text version
Revised: 12/22/25
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TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601310000101175
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.
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