Upload of Current W-9 Required. Vendors are required by TIPS to upload a current, accurate W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. You must confirm that you are responding to this solicitation under your legal entity name. Go now to your Supplier Profile in this eBid System and confirm that your profile reflects your "Legal Name" as it is listed on your W9.
Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5
Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity.
Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shal...
Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. Exhibit B REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone University of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (000) 000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (000) 000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal subm...
Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 5 DocuSign Envelope ID: 0A97FD6F-92E4-40D4-9071-D38E20A03DDA CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: Liminex, Inc. dba GoGuardian (Name of Corporation) Xxxxxxx Xxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxxx Xxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Senior Capture Manager (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 2/22/2021 DATE DocuSign Envelope ID: 0A97FD6F-92E4-40D4-9071-D38E20A03DDA TIPS RFP # 210101 Required Confidential Information Status Form Liminex, Inc. dba GoGuardian Name of company Xxxxxxx Xxxxx, VP of Sales Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 X Xxxxx Xxx Xx Xxxxxxx XX 00000 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal subm...
Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 REFERENCES FOR: Interstuhl Seating and BIMOS Lab Seating Please provide three (3) references, preferably from school districts or other governmental entities who have used your servi the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Intuitive Surgical Xxxx Xxxxx - Health and Safety gabe.xxxxx@intusurg,com 800-876-1310 Tesla Xxxx Xxxxxxxxxxx - Purchasing xxxxxxxxxxxx@xxxxx.xxx 650-681-5000 Catalent Pharmceuticals Xxxxx X'Xxxxxx - Clinical Ops xxxxx.xxxxxxx@xxxxxxxx.xxx 859-745-2200 INTERsTUHL LIMITED WARRANTY FOR NORTH AMERICA Interstuhl warrants to the original purchaser that the products described in the Price List, sold after JuIy 1, 2020, will be free from defects in materials and workmans-hip when used in a single shift (standard 8 hour day, 5 days per week) for the following warranty period:
Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 5 TIPS RFP # 210305 Symbiote, Inc. Name of company Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Vice President Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 616-772-1790 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code...
Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the t the Confidentiality Claim Form which is an attachment to this solicitation. BDM REFERENCES Description of Services Provided Project Owner/ Agency/Xxxxx nment Entity Project Title Project Value Period of Performance Facility Contact Name & Phone # Trade – Modular Buildings BD MODULAR SALES AND LEASING, LLC Manufacture, Deliver Xxxxx and Install 24’x56’ Modular Office Space. Install Deck, Steps, Texas Dept of Transportation TX-DOT - Georgetown $86,500 March 2018- July 2018 Modular Office Xxxxxxxx 000-000-0000 Ramps. Provide Lease Xxxxx.haverla h@xxxxx.xxx Manufacture, Deliver and Install 24’x56’ Modular Office Space. City of Alpine, TX Alpine Water Treatment Office Building $52,982 July 2018- Oct. 2018 Modular Office Xxxxxxx Xxxxx 000-000-0000 Citi.manager @ci.alpine.tx. us Manufacture, Deliver, Install, Pour sidewalks, Ramps & Install awnings of 6,272 sf of Modular Classroom Space Breckenridge ISD South Elementary School $481,584 May 2018 – July 2018 MODULAR CLASSROOM SPACE Xxxxx Xxxxxxxxx – 000-000-0000 Xxxxx.dieteric h@breckenrid xxxxx.xxx Manufacture,, Deliver and Install 48’x60’ Modular Pharmacy Building, including deck/steps/ramps and Lease TX Department of Health and Human Services - Xxxx State Hospital Pharmaceutical Building $248,400 May 2020 – August 2020 MODULAR Pharmaceutical Space Xxx Xxxxxx – 000-000-0000 Xxx.xxxxxx@h xxx.xxxxx.xx.xx Manufacture, Deliver, Install two office buildings. One 48’x60’ and one 60’x60 to include deck, steps ramps and lease Texas Department of Transportation TX DOT - Mckinney $105,000 March 2020 – May 2020 MODULAR Office Space Xxxx Xxxxxxx 000-000-0000 Clay.xxxxxxx @xxxxx.xxx Assessment Categories Unsatisfactory Marginal Satisfactory Very Good Exceptional N/A a. QUALITY OF PRODUCT OR SERVICE X b. SCHEDULE X c. COST CONTROL X d. BUSINESS RELATIONS X e. MANAGEMENT OF KEY PERSONNEL X f. RELIABILITY X g. CUSTOMER SUPPORT X h. OVERALL PERFORMANCE X i. OTHER AREAS: X (1)
Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: xxxxxxx xxxx Tvinstal. LLC (Name of Corporation) certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that xxxxxxx xxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as xxxxxxx xxxx (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE DATE 09/13/2020 TIPS RFP # 200904 Required Confidential Information Status Form CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your...
