ESBD_544482_1785440635936_04. Texas Family Code Schedule.docx

DOCX document 38 KB Posted

Attached to
Wavetronix SmartSensor Matrix, Advance Detection Systems and Accessories
Solicitation number
601330000046719
Issued by
Texas

About this file

This is a Texas Family Code Schedule form required for Solicitation No. 601330000046719 related to a Wavetronix SmartSensor Matrix, Advance Detection Systems and Accessories contract opportunity in Texas. The schedule serves as a certification document confirming respondent eligibility to receive state grants, loans, or payments on state contracts under Texas Family Code Section 231.006, which addresses child support obligations. Respondents must 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, or certify that the schedule is not applicable if ownership criteria are not met. The form requires respondent signature, name, title, and date, and must be returned with the response submission.

Failure to sign and return this completed schedule may result in the response being considered non-responsive and ineligible for contract award. The disclosure of Social Security numbers is required by Texas Family Code Sections 231.006(c) and 231.302(c)(2) for identification of individuals who may owe child support obligations, with confidentiality protections provided under Section 231.302(e). The contract may be terminated and payment withheld if the certification provided is inaccurate. This schedule represents a mandatory compliance requirement rather than a pricing or service specification document.

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601330000046719

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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