ESBD_552558_1787348409600_04. Child Support Obligation Schedule.docx
DOCX document 40 KB Posted
- Attached to
- Brine Sprayer Equipment
- Solicitation number
- 601440000054211
- Issued by
- Texas
About this file
This is a Child Support Obligation Schedule form required by the State of Texas for Solicitation No. 601440000054211 related to a Brine Sprayer Equipment contract opportunity. The schedule serves as a certification document that respondents must complete, sign, and return with their bid submissions. Respondents are required to provide names and Social Security numbers for all individuals or business entities holding at least twenty-five percent ownership interest in the submitting entity, in compliance with Texas Family Code Section 231.006. The form acknowledges that respondents are eligible to receive contract payments and that the contract may be terminated and payment withheld if the certification is found to be inaccurate. Failure to sign and return this schedule with the response may result in the bid being deemed non-responsive.
The document includes a Federal Privacy Act Notice informing respondents that Social Security number disclosure is mandatory under Texas Family Code Sections 231.006(c) and 231.302(c)(2) for the purpose of identifying persons who may owe child support obligations. Social Security numbers provided will be kept confidential to the fullest extent permitted by law. Respondents whose business entities do not meet the ownership criteria specified in the Texas Family Code may check a box indicating that the schedule is not applicable. This form is a mandatory compliance requirement for all bid submissions under this solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ESBD_552558_1787348350657_01. Invitation for Bid 601440000054211.pdf | ||
| ESBD_552558_1787348370616_02. Execution of Bid.docx | DOCX document | |
| ESBD_552558_1787348425743_05. Data Sheet Schedule.docx | DOCX document | |
| Bid_notify_601440000054211.txt | TXT text file | |
| ESBD_552558_1787348391535_03. Price Schedule.xlsx | XLSX spreadsheet |
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Text version
CHILD SUPPORT OBLIGATION SCHEDULE
SOLICITATION NO. 601440000054211
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 .