ESBD_570295_1792529893742_03. Texas Family Code Schedule.docx
DOCX document 38 KB Posted
- Attached to
- X-Ray Tube for XRF Spectrometer Equipment
- Solicitation number
- 601440000053804
- Issued by
- Texas
About this file
This document is a Texas Family Code Schedule form required as part of Solicitation No. 601440000053804 for an X-Ray Tube for XRF Spectrometer Equipment contract opportunity in Texas. The schedule serves as a certification of eligibility to receive state grants, loans, or payments on state contracts under Texas Family Code Section 231.006, which addresses child support obligations. Respondents are required to complete the form by providing names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the submitting business entity. The form must be signed and returned with the bid response, and failure to do so may result in the response being deemed non-responsive.
The document includes a Federal Privacy Act Notice informing respondents that disclosure of Social Security numbers is mandatory under Texas Family Code Sections 231.006(c) and 231.302(c)(2) and will be used to identify persons with outstanding child support obligations. The SSN information will be kept confidential to the maximum extent permitted by Section 231.302(e) of the Texas Family Code. Respondents who do not meet the ownership criteria requiring SSN submission may check a box indicating that the schedule is not applicable. This certification form is a mandatory compliance document that must accompany all bids submitted in response to this solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ESBD_570295_1792529821892_02. Execution of Bid.docx | DOCX document | |
| ESBD_570295_1792529914875_Bid Table 601440000053804.xlsx | XLSX spreadsheet | |
| ESBD_570295_1792529801260_01. IFB Solicitation 601440000053804.pdf | ||
| Bid_notify_601440000053804.txt | TXT text file |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601440000053804
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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