ESBD_520253_1779819215229_05. Texas Family Code Schedule.docx

DOCX document 38 KB Posted

Attached to
Iteris Vantage Radius+
Solicitation number
601440000052712
Issued by
Schleicher County, Texas

About this file

This is a Texas Family Code Schedule compliance document for Solicitation No. 601440000052712, administered by the State of Texas. The schedule serves as a certification form addressing child support obligation eligibility requirements under Texas Family Code Section 231.006. Respondents to this solicitation must complete and return the form as part of their proposal submission, certifying that they and any individuals or business entities named in the solicitation are eligible to receive state payments and acknowledging that the contract may be terminated and payment withheld if the certification is inaccurate. No specific products, services, project timelines, or contract terms are detailed in this document, as it functions solely as a compliance and eligibility verification form.

The schedule requires respondents with at least twenty-five percent ownership interest in the business entity submitting the response to provide names and social security numbers for all such owners. Alternatively, respondents not meeting the ownership criteria may indicate that the schedule is not applicable to their situation. The document includes a Federal Privacy Act Notice explaining that disclosure of social security numbers is required by Texas Family Code Sections 231.006(c) and 231.302(c)(2) to identify individuals with outstanding child support obligations, with the information maintained as confidential to the fullest extent permitted by law. Failure to sign and return the completed schedule with the response may result in the proposal being deemed non-responsive, making submission of this form mandatory for bid consideration.

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601440000052712

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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