ESBD_514303_1778534295530_04. Texas Family Code Schedule.docx

DOCX document 38 KB Posted

Attached to
Traffic signal controller parts
Solicitation number
601290000033483
Issued by
Hockley County, Arlington City, Texas

About this file

This is a Texas Family Code Schedule document for Solicitation No. 601290000033483, issued by the State of Texas. The schedule serves as a certification form requiring respondents to acknowledge their 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 provide the names and Social Security numbers of any individual or business entity holding at least twenty-five percent ownership interest in the business entity submitting the response. The document indicates that failure to sign and return this completed schedule with the response may result in the submission being deemed non-responsive.

The schedule requires respondents to either complete the ownership information section by providing names and Social Security numbers for qualifying owners, or to certify that the schedule is not applicable if the respondent does not meet the ownership criteria under Texas Family Code Section 231.006. The Social Security numbers collected through this form will be used to identify persons owing child support obligations and will be maintained confidentially in accordance with Texas Family Code provisions. The respondent must sign the document, provide a title, and include the date of certification. This schedule is mandatory for contract award consideration and serves as a compliance mechanism to ensure that state contract payments are not made to entities with outstanding child support obligations.

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601290000033483

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 Name Click or tap here to enter text.

Title Click or tap to enter a date.

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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