ESBD_564833_1791300158646_03. Child Support Obligation Schedule.pdf

PDF 131 KB Posted

Attached to
24-Inch Reinforcement Cages with Anchor Bolts
Solicitation number
601440000054448
Issued by
Texas

About this file

This is a Child Support Obligation Schedule compliance document required for a Texas state contract solicitation (Solicitation No. 601440000054448) related to 24-Inch Reinforcement Cages with Anchor Bolts. The document mandates that respondents certify their eligibility to receive state payments under Texas Family Code Section 231.006, which addresses child support obligations. Respondents with at least twenty-five percent ownership interest in the submitting business entity must provide the names and Social Security numbers of all owners meeting this threshold. The schedule must be completed, signed, and returned with the bid response; failure to do so may result in the response being deemed non-responsive. Respondents not meeting the ownership criteria may mark the schedule as not applicable and sign accordingly.

The document 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) to identify individuals who may owe child support. The SSN information will be kept confidential to the fullest extent permitted by law. Submission of an inaccurate certification may result in contract termination and payment withholding. This mandatory compliance schedule represents a prerequisite eligibility requirement for all bid submissions and must accompany the response package with appropriate signatures and printed name and title of the authorized representative.

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Text version

1 - 2 Revised 09/18/2026

Child Support Obligation Schedule

Solicitation No.

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:

XXX-XX

Name Social Security Number

XXX-XX

Name Social Security Number

XXX-XX

Name Social Security Number

2 - 2

If the respondent does not meet the ownership criteria under Texas Family code - Section 231.006, mark on the line 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

Title

THIS PAGE MUST BE RETURNED WITH THE RESPONSE. FAILURE TO SIGN

AND RETURN THIS PAGE MAY RESULT IN THE RESPONSE BEING CONSIDERED

NON-RESPONSIVE.

Child Support Obligation Schedule
Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts
solicitation_number: 601440000054448
owner_1_name:
owner_1_ssn_last4:
owner_2_name:
owner_2_ssn_last4:
owner_3_name:
owner_3_ssn_last4:
not_applicable: Off
signature:
printed_name:
title:

File details come from the government source that posted it. Updated .