ESBD_548462_1786562304648_04. Texas Family Code Schedule.docx
DOCX document 38 KB Posted
- Attached to
- ATC Cabinet with Controller
- Solicitation number
- 601310000102727
- Issued by
- Texas
About this file
This is a Texas Family Code Schedule certification document required for Solicitation No. 601310000102727 related to an ATC Cabinet with Controller procurement in Texas. The schedule serves as an ineligibility attestation regarding child support obligations under Texas Family Code Section 231.006. Respondents must complete the form by providing names and Social Security numbers for all individuals or business entities holding at least twenty-five percent ownership interest in the submitting business. The completed and signed schedule must be returned with the bid response, and failure to do so may result in the response being deemed non-responsive.
The form requires certification that the respondent and any named individuals or entities are eligible to receive state payment and acknowledges that the contract may be terminated and payment withheld if the certification is inaccurate. Respondents who do not meet the ownership criteria specified under Texas Family Code Section 231.006 may check a box indicating the schedule is not applicable. Social Security numbers are collected solely to identify persons who may owe child support and are kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). The document requires the respondent's signature, printed name, title, and date before submission.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ESBD_548462_1786562239118_01. IFB 601310000102727.pdf | ||
| Bid_notify_601310000102727.txt | TXT text file | |
| ESBD_548462_1786562288298_03. Execution of Bid.docx | DOCX document | |
| ESBD_548462_1786562273564_02. Specification DMS-11170.pdf | ||
| ESBD_548462_1786562320898_Bid Table 601310000102727.xlsx | XLSX spreadsheet |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601310000102727
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 .