ESBD_544230_1785334558902_Texas Family Code Schedule.docx
DOCX document 39 KB Posted
- Solicitation number
- 601320000071572
- Issued by
- Texas
About this file
This is a Texas Family Code Schedule certification form required as part of Solicitation No. 601320000071572 for an emergency purchase of cement by the Austin District in Texas. The document serves as a compliance certification affirming that respondents and any individuals or business entities named in the solicitation are eligible to receive payment on the state contract and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. Respondents must provide the names and Social Security numbers of all persons or entities holding at least 25 percent ownership interest in the business entity submitting the response, or certify that the schedule is not applicable if ownership criteria are not met.
The form requires authorized signature and must be returned with the response submission, as failure to sign and return this page may result in the response being deemed non-responsive. The Social Security numbers collected are required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) and will be used to identify persons owing child support obligations. The information will be kept confidential to the fullest extent allowed under Texas Family Code Section 231.302(e).
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Other files
| File | Type | Posted |
|---|---|---|
| ESBD_544230_1785334538781_Pricing Schedule.xlsx | XLSX spreadsheet | |
| ESBD_544230_1785334519101_Solicitation Package 601320000071572.pdf |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601320000071572
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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File details come from the government source that posted it. Updated .