ESBD_509489_1776882540066_04. Texas Family Code Schedule.docx

DOCX document 37 KB Posted

Attached to
AC and DC School Zone Clocks
Solicitation number
601310000099110
Issued by
Kleberg County, Texas

About this file

This is a Texas Family Code Schedule document for Solicitation No. 601310000099110, issued by the State of Texas. The schedule serves as a compliance certification form that respondents must complete, sign, and return with their proposal submissions. The document requires respondents to provide ownership information for any individual or business entity holding at least twenty-five percent ownership interest in the submitting business entity, including names and Social Security numbers. Respondents must acknowledge their eligibility to receive payment under the contract and certify compliance with child support obligations as required under Texas Family Code Section 231.006. The schedule explicitly states that failure to sign and return this page may result in the response being considered non-responsive, making timely submission a critical requirement.

The document includes a Federal Privacy Act Notice informing respondents that disclosure of Social Security numbers is required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) for the purpose of identifying persons who may owe child support obligations. The SSN information will be kept confidential to the fullest extent allowed under Section 231.302(e) of the Texas Family Code. Respondents who do not meet the ownership criteria have the option to check a box indicating the schedule is not applicable. This certification requirement is mandatory for contract award eligibility, as the State of Texas reserves the right to terminate the contract and withhold payment if any certification provided proves to be inaccurate.

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Text version

TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601310000099110

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:

Click or tap here to enter text.XXX-XX-Click or tap here to enter text.
NameSocial Security Number
Click or tap here to enter text.XXX-XX-Click or tap here to enter text.
NameSocial Security Number
Click or tap here to enter text.XXX-XX-Click or tap here to enter text.
NameSocial Security Number

If the 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 Click or tap here to enter text.

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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