General Company Information a. Entity structure chart, including all subs, affiliates, parent companies and ultimate beneficial owners
General Company Information. Company’s Legal Name EIN # Company’s DBA (if different than legal name) Business Address City State Zip Website: Company Principal Name: (signing this agreement) Company Principal: Email Address Phone # Fax # Payroll Administrator: Email Address Phone# Fax# xxxxxx’s Bank Account for Payroll: Bank Name: Current Account Balance: _ Bank Routing Number: Bank Account Number _ Bank Contact Name: Bank Phone Number CPA Information: CPA Name: Phone #: Email Address: Payroll Information: # of Employees: Payroll Frequency: First Pay Date: # of Direct Deposits: Auto Check Signing: Yes No Preferred Method of Payroll Reporting: Phone Email Online Other I agree that the information above is accurate and can be verified by HiTech Payroll Inc. Company Principal’s Printed Name: Company Principal’s Signature: Years as Principal of Company: Date Signed: Rush Service Required?
General Company Information. If further space is needed to answer any question please complete on a separate page clearly marking upon it the question to which it relates. Questions A1 to A3, to the extent applicable, are to be completed by the Applicant, or if the Applicant is a sole organisation, that organisation. A1 Name of the organisation that will act as Applicant for the Contract and each of any other Relevant Organisations (as applicable): Applicant: Relevant Organisations (if applicable): A2 Name and contact details for Applicant’s principal contact: Name: Position in organisation: Address:
General Company Information. Provide the name of Proposer’s company (including the name of any parent company), business address, e-mail address, Federal Tax ID number, telephone number, and fax number.
General Company Information. Provide a profile of your company, including background and history, size, locations, certifications, credentials, etc. Please provide details of your company’s practices for staying current on regulations, legislation, certifications, and compliance especially as it relates to a public library system. Describe all staff that will be utilized to perform contractual duties under your proposal, and their certifications, experience, and duties. Provide references of similar sized or larger agencies that proposer is currently managing or has managed.
General Company Information. Attachment 1 VENDOR INFORMATION Optimizely Recurring Service Agreement Proposing Company Name CEO/President Name Street Address City State Zip + 4 Company Website www.
General Company Information
