ESBD_551823_1787249166789_03. Texas Family Code Schedule.docx
DOCX document 37 KB Posted
- Solicitation number
- 601310000103153
- Issued by
- Texas
About this file
This is a Texas Family Code Schedule form required for Solicitation No. 601310000103153 related to catering services for the TDOT Fort Worth District. The document serves as a certification of eligibility to receive state grants, loans, and payments on state contracts, with compliance required under Texas Family Code Section 231.006 regarding child support obligations. Respondents must provide the names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the business entity submitting the response. The form requires signature and must be returned with the bid response, as failure to sign and return this schedule may result in the response being deemed non-responsive.
The schedule includes a Federal Privacy Act Notice informing respondents that disclosure of Social Security numbers is required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) for identification of persons owing child support obligations. Respondents certify that they and any named individuals or entities are eligible to receive the specified payment and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. Respondents who do not meet the ownership criteria may indicate that the schedule is not applicable by checking the designated box and signing the form. The document must be completed with the respondent's name, title, and signature date.
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Other files
| File | Type | Posted |
|---|---|---|
| ESBD_551823_1787249149562_02. Execution of Bid.docx | DOCX document | |
| ESBD_551823_1787249110189_01. IFB 601310000103153.pdf | ||
| Bid_notify_601310000103153.txt | TXT text file | |
| ESBD_551823_1787249296477_Bid Table 601310000103153.xlsx | XLSX spreadsheet |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601310000103153
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 .