ESBD_538126_1784060744426_03. Texas Family Code Schedule.docx
DOCX document 38 KB Posted
- Solicitation number
- 601320000071408
- Issued by
- Texas
About this file
This is a Texas Family Code Schedule form required for the Emergency Solicitation for Flowable Backfill for the Austin District (Solicitation No. 601320000071408). The document serves as a certification of eligibility to receive state grants, loans, or payments on state contracts in accordance with Texas Family Code Section 231.006 regarding child support obligations. Respondents must provide the names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the business entity submitting the response. The form requires completion of ownership information fields or, alternatively, a checkbox indicating the respondent does not meet the ownership criteria, along with a signature from an authorized representative with title and date.
The form emphasizes that failure to sign and return the completed schedule may result in the response being deemed non-responsive and ineligible for contract award. Respondents acknowledge that submission of inaccurate information may result in contract termination and payment withholding. Social Security numbers are collected solely for purposes of identifying individuals with outstanding child support obligations and will be kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). This schedule must be included with all bid responses and represents a mandatory compliance requirement for participation in this state contract opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| ESBD_538126_1784060726425_02. Pricing Schedule.xlsx | XLSX spreadsheet | |
| ESBD_538126_1784060706817_01. Solicitation Package 60132000071408.pdf |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601320000071408
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. |
| Name | Social Security Number |
| Click or tap here to enter text. | XXX-XX-Click or tap here to enter text. |
| Name | Social Security Number |
| Click or tap here to enter text. | XXX-XX-Click or tap here to enter text. |
| Name | Social 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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