ESBD_538558_1784140562052_Texas Family Code Schedule.docx
DOCX document 38 KB Posted
- Solicitation number
- 601340000066760
- Issued by
- Texas
About this file
This is a Texas Family Code Schedule certification document for Solicitation No. 601340000066760 related to an Emergency Traffic Paint procurement for the El Paso District. The schedule functions as a compliance document required to be submitted with all responses to verify eligibility to receive state payments and contract awards under Texas Family Code Section 231.006, which addresses child support obligation requirements.
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 submitting company, or certify that the ownership threshold does not apply. The document includes a Federal Privacy Act Notice advising that Social Security number disclosure is mandatory under Texas Family Code Sections 231.006(c) and 231.302(c)(2) for child support identification purposes, with protections for confidentiality under Section 231.302(e). The schedule requires signature, name, title, and date from an authorized representative and must be returned with the bid response; failure to sign and return this page may result in the response being deemed non-responsive.
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601340000066760
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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