ESBD_526503_1781288439066_05. Texas Family Code Schedule.docx

DOCX document 38 KB Posted

Attached to
MioVision Core DCM and Accessories
Solicitation number
601440000052966
Issued by
Texas

About this file

This is a Texas Family Code Schedule certification document for solicitation number 601440000052966 related to a MioVision Core DCM and Accessories contract opportunity in Texas. The schedule serves as a compliance certification form that respondents must complete, sign, and return as part of their bid submission. The document establishes eligibility requirements under Texas Family Code Section 231.006, which addresses child support obligations and the eligibility of respondents to receive state payments and contract awards. Respondents must certify their eligibility, acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate, and understand that failure to sign and return this schedule may result in the response being deemed non-responsive.

For respondents meeting the ownership criteria, the schedule requires disclosure of the names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the submitting entity. Alternatively, respondents not meeting the ownership threshold may check a box indicating the schedule is not applicable. The Social Security numbers collected are held confidential to the fullest extent permitted under Texas Family Code Section 231.302(e) and are used exclusively to identify persons who may owe child support obligations. This certification requirement is mandatory for contract eligibility, and submission of the completed and signed schedule with the bid response is essential to avoid disqualification.

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601440000052966

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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