ESBD_553485_1787696317871_07. Texas Family Code Schedule.docx
DOCX document 38 KB Posted
- Solicitation number
- 601340000067109
- Issued by
- Travis County, Texas
About this file
This is a Texas Family Code Schedule certification form for Solicitation No. 601340000067109 related to Pest Control Services for TxDOT San Angelo District (Highway District 07). The document serves as an eligibility verification requirement under Texas Family Code Section 231.006, which addresses child support obligations. Respondents must certify their eligibility to receive state payments and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. The form requires submission of names and Social Security numbers for all individuals or business entities holding at least twenty-five percent ownership interest in the responding business entity. Respondents who do not meet the ownership criteria may check a box indicating that the schedule is not applicable. The document must be signed and returned with the response, with failure to do so potentially resulting in the response being deemed non-responsive.
The Social Security numbers disclosed on this form will be used by the state to identify individuals who may owe child support obligations and will be kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). The disclosure of Social Security numbers is required by Section 231.006(c) and Section 231.302(c)(2) of the Texas Family Code. This certification requirement is a standard compliance measure for state contract opportunities in Texas and does not directly address pricing, funding sources, or service specifications but rather establishes the legal eligibility framework for contract award and payment authorization.
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601340000067109
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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