ESBD_539088_1784233447603_06. Texas Family Code Schedule.docx

DOCX document 38 KB Posted

Attached to
Recycling Collection Services - Austin District
Solicitation number
601320000071388
Issued by
Texas

About this file

This is a Texas Family Code Schedule document for the Recycling Collection Services - Austin District contract opportunity (Solicitation No. 601320000071388). The schedule serves as a certification form that respondents must complete, sign, and return as part of their proposal submission. Respondents must declare their eligibility to receive state grants, loans, or payments on state contracts under Texas Family Code Section 231.006, which relates to child support obligations. The document requires respondents to provide names and Social Security numbers for all individuals or business entities holding at least twenty-five percent ownership interest in the submitting business entity. Failure to sign and return this completed schedule may result in the response being deemed non-responsive and could lead to contract termination and payment withholding if the certification proves inaccurate.

The schedule includes a Federal Privacy Act Notice informing respondents that disclosure of Social Security Numbers is mandatory under Texas Family Code Sections 231.006(c) and 231.302(c)(2). The SSN information will be used to identify individuals who may owe child support obligations and will be maintained confidentially to the extent permitted by Section 231.302(e) of the Texas Family Code. Respondents who do not meet the ownership criteria specified in the Texas Family Code may check an applicable box indicating that the schedule is not applicable to their entity. This document is a mandatory compliance requirement for all solicitation responses and must be returned with the proposal submission.

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601320000071388

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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