ESBD_506961_1776261488443_04. Texas Family Code Schedule.pdf

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Attached to
Two-Line Truck Mounted Message Board with Swivel Mount for the El Paso District Solicitation
Solicitation number
601340000064163
Issued by
El Paso County, Texas

About this file

This is a Texas Family Code Schedule certification form required by the Texas Department of Transportation (TxDOT) for solicitation number 601340000064163 regarding the supply of programmable message signs with two-line changeable LED display panels for vehicle mounting. Respondents must complete and return this schedule with their proposals by the April 28, 2026 deadline. The form requires certification that the submitting individual or business entity is eligible to receive state payment and acknowledges that the contract may be terminated and payment withheld if the certification is inaccurate. No specific quantities, contract duration, or renewal terms are detailed in this compliance document.

Respondents meeting the ownership criteria must provide names and Social Security numbers of all persons or entities holding at least twenty-five percent ownership interest in the business entity submitting the response, as mandated by Texas Family Code Section 231.006 relating to child support obligations. The Social Security numbers will be used to identify persons that may owe child support and will be kept confidential to the fullest extent allowed under state law. Entities not meeting the ownership criteria may check an applicable box to indicate the schedule is not applicable. Failure to sign and return this completed page may result in the response being considered non-responsive, making this document mandatory for bid submission.

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Text version

Revised: 12/22/25

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 60134000064163

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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