ESBD_546117_1785961292368_04. Texas Family Code Schedule.docx
DOCX document 37 KB Posted
- Attached to
- Pole Mounted Traffic Signal Controllers
- Solicitation number
- 601290000034660
- Issued by
- Hockley County, Arlington City, Texas
About this file
This is a Texas Family Code Schedule form for solicitation number 601290000034660 related to a Pole Mounted Traffic Signal Controllers contract opportunity in Texas. The document serves as a certification of eligibility requirement for respondents under Texas Family Code Section 231.006, which addresses child support obligations and ineligibility to receive state grants, loans, or payments on state contracts. Respondents are required to complete the form by providing names and Social Security numbers of any individual or business entity holding at least 25 percent ownership interest in the business entity submitting the response. Alternatively, respondents may certify that they do not meet the ownership criteria requiring disclosure by checking the applicable box.
The form mandates that respondents acknowledge their eligibility to receive payment under the specified contract and understand that the contract may be terminated and payment withheld if the certification is inaccurate. Social Security numbers are required pursuant to federal privacy requirements and will be used to identify individuals owing child support obligations, with information kept confidential to the fullest extent allowed under Texas Family Code. The completed and signed schedule must be returned with the response submission, as failure to sign and return the document may result in the response being deemed non-responsive to the solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ESBD_546117_1785961309798_05. Assumptions Schedule.xlsx | XLSX spreadsheet | |
| ESBD_546117_1785961239113_01. RFO 601290000034660.pdf | ||
| ESBD_546117_1785961358992_Bid Table 601290000034660.xlsx | XLSX spreadsheet | |
| ESBD_546117_1785961256535_02. Specification.pdf | ||
| ESBD_546117_1785961339372_06. Exceptions Schedules.xlsx | XLSX spreadsheet | |
| Bid_notify_601290000034660.txt | TXT text file | |
| ESBD_546117_1785961273515_03. Execution of Offer.docx | DOCX document |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601290000034660
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 .