Common use of INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT Clause in Contracts

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO N Please provide three (3) references, preferably from school districts or other governmental entities who have used your se 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 Xxxxx ISD Xxxxxxx Xxxxx, M. Ed. xxxxxxx.xxxxx@xxxxxxxx.xxx (000) 000-0000 Xxxxxx ISD Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Valley View ISD Xx. Xxxxxxx X. Meyers xxxxxxxx@xxxxxxxx.xxx 000-000-0000 INSTITUTO HEALTH SCIENCE CAREER ACADE Xxxxx Xxxxxx, Ed.D. x.xxxxxx@xxxx.xxx 000-000-0000 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: Xxxxxx & Associates, Inc. DBA AC Language School (Name of Corporation) Xxxx X. Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Angeles 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 President (Title/Position of person signing proposal/offer document within the corporation) CORPORATE SEAL 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 01/07/2022 SIGNATURE 0 /07/2022 DATE TIPS RFP # 211002 Required Confidential Information Status Form Xxxxxx & Associates, Inc. DBA AC Language School N a m e of c o m p a n y N of p y P r in t e d N a m e and Title of aut P int d N d Title of u horized company officer declaring below the confidential status of material 000 Xxxxxxx Xxx. Sugar Land TX 77498 832-588-7762 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 Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OR OPTION 2: I DO NOT CLAIM any of my proposal to be confidential, complete the section below. si r e to expressly waive a t h e c o m procure m

Appears in 1 contract

Samples: Tips Vendor Agreement

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INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO N NOT HA Please provide three (3) references, preferably from school districts or other governmental entities who have used your se services wi 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 Xxxxx Xxxxxxxx ISD Xxxxxxx Xxxxx, M. Ed. xxxxxxx.xxxxx@xxxxxxxx.xxx (000) 000-0000 Xxxxxx ISD Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx.xxx Xxxxxxx xxxxxxx.xxxxxxx@xxxxxxxx.xxx 000-000-0000 Valley View La Joya ISD Xx. Xxxxxxx Xxxxxx X. Meyers xxxxxxxx@xxxxxxxx.xxx Xxxxxx x.xxxxxx@xxxxxxxxx.xxx 000-000-0000 INSTITUTO HEALTH SCIENCE CAREER ACADE Xxxxx-San Xxxx-Alamo ISD Xxxxx Xxxxxx, Ed.D. x.xxxxxx@xxxx.xxx Xxxxx xxxxx.xxxxx@xxxxxxx.xx 000-000-0000 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: Xxxxxx & Associates, Inc. DBA AC Language School Teacher's Discovery (Name of Corporation) Xxxx X. Xxxxxx Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Angeles Xxxxxx Xxxxx Xxxxxxx (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 President Bids Coordinator (Title/Position of person signing proposal/offer document within the corporation) CORPORATE SEAL 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 01/07/2022 SIGNATURE 0 /07/2022 11/10/2021 DATE TIPS RFP # 211002 Required Confidential Information Status Form Xxxxxx & Associates, Inc. DBA AC Language School N a m e of c o m p a n y N of p y P r in t e d N a m e and Title of aut P int d N d Title of u horized company officer declaring below the confidential status of material 000 Xxxxxxx Xxx. Sugar Land TX 77498 832-588-7762 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 Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OR OPTION 2: I DO NOT CLAIM any of my proposal to be confidential, complete the section below. si r e to expressly waive a t h e c o m procure m211002

Appears in 1 contract

Samples: Tips Vendor Agreement

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO N NOT HANDWRI Please provide three (3) references, preferably from school districts or other governmental entities who have used your se 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 Xxxxx ISD Xxxxxxx Xxxxx, M. Ed. xxxxxxx.xxxxx@xxxxxxxx.xxx (000) 000-0000 Xxxxxx ISD Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx.xxx State of Washington – DSHS Xxxx XxXxxxx xxxx.xxxxxxx@xxxx.xx.xxx 000-000-0000 Valley View ISD Xx. Xxxxxxx X. Meyers xxxxxxxx@xxxxxxxx.xxx Albuquerque Public Schools Xxxxx Xxxx xxxxx.xxxx@xxx.xxx 000-000-0000 INSTITUTO HEALTH SCIENCE CAREER ACADE x Northside Independent School District Xxxxxxxxx Xxxxx Xxxxxx, Ed.D. x.xxxxxx@xxxx.xxx xxxxxxxxx.xxxxx@xxxx.xxx 000-000-0000 City of Columbus (OH) Xxxxx Xxxxx xxxxxxx@xxxxxxxx.xxx 000-000-0000 80072 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: Xxxxxx & Associates, Inc. DBA AC Language School 000 xxxxxxxxxxxx xxx. (Name of Corporation) Xxxx X. Xxxxxx Xxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Angeles Xxxxxx Xxxx Xxxxxxx (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 President and CEO (Title/Position of person signing proposal/offer document within the corporation) CORPORATE SEAL 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 01/07/2022 SIGNATURE 0 /07/2022 November 16, 2021 DATE TIPS RFP # 211002 Required Confidential Information Status Form Xxxxxx & Associates, 911 Interpreters Inc. DBA AC Language School N a m e Name of c o m p a n y N of p y P r in t e d N a m e company Xxxx Xxxxxxx / President and CEO Printed Name and Title of aut P int d N d Title of u horized authorized company officer declaring below the confidential status of material 000 X Xxxxxxxx Xxxxxx, Xxxxx 0000 Xxxxxxx Xxx. Sugar Land TX 77498 832XX 00000 866-588810-7762 0911 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 Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OR OPTION 2: I DO NOT CLAIM any of my proposal to be confidential, complete the section below. si r e to expressly waive a t h e c o m procure m.

Appears in 1 contract

Samples: Tips Vendor Agreement

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO N NOT HA Please provide three (3) references, preferably from school districts or other governmental entities who have used your se 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 Xxxxx ISD XX Xxxxxx Elementary School (Jefferson County, WV) Xxxxxxx XxxxxXxxxxx xxxxxxx@x00.xx.xx 304- 728 - 7250 Bellington Middle School (Xxxxxxx County, M. Ed. xxxxxxx.xxxxx@xxxxxxxx.xxx (000WV) 000-0000 Xxxxxx ISD Xxxxx Xxxx Xxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx.xxx xxxxxxxxx@x00.xx.xx 000-000-0000 Valley View ISD Xx. Xxxxxx County School Title (Xxxxxx County, WV) Xxxxxxx X. Meyers xxxxxxxx@xxxxxxxx.xxx Xxxx Xxxxxx xxxxxxx@x00.xx.xx 000-000-0000 INSTITUTO HEALTH SCIENCE CAREER ACADE Xxxxxxx County Schools Title (Xxxxxxx Xxxxx, WV) Xxxxx Xxxxxx, Ed.D. x.xxxxxx@xxxx.xxx Xxxxx xxxxxxx@x00.xx.xx 000-000-0000 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: Xxxxxx & Associates, Inc. DBA AC Language School Xxxxxx’x Consulting (Name of Corporation) Xxxx X. Xxxxxx Xxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Angeles Xxxxxx 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 President and CEO (Title/Position of person signing proposal/offer document within the corporation) CORPORATE SEAL if avail 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 ilable SIGNATURE 01/07/2022 SIGNATURE 0 /07/2022 06/10/2021 DATE TIPS RFP # 211002 210602 Required Confidential Information Status Form Xxxxxx’x Consulting Name of company Xxxxxx & Associates, Inc. DBA AC Language School N a m e of c o m p a n y N of p y P r in t e d N a m e Xxxxxx - President and CEO 974 Printed Name and Title of aut P int d N d Title of u horized authorized company officer declaring below the confidential status of material 000 Xxxxxxx Xxx. Sugar Land TX 77498 832Xxxxxxxxx Xx Xxxxxxxxx XX 00000 304-588320-7762 9 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 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 Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OR OPTION 2: I DO NOT CLAIM any of my proposal to be confidential, complete the section below. si r e to expressly waive a t h e c o m procure m.

Appears in 1 contract

Samples: Tips Vendor Agreement

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO N Please provide three (3) references, preferably from school districts or other governmental entities who have used your se 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 Xxxxx ISD Xxxxxxx Xxxxx, M. Ed. xxxxxxx.xxxxx@xxxxxxxx.xxx Marlington Local Schools Xxxx Xxxxxxxxx x_xxxxxxxxx@xxxxxxxxxxxxxxx.xxx (000) 000-0000 Xxxxxx ISD Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx.xxx North Canton City Schools Xxxx Xxxxx, Business Director xxx0xx@xxxxxxxxxxxxxxxxxx.xxx (000-) 000-0000 Valley View ISD Xx. Xxxxxxx X. Meyers xxxxxxxx@xxxxxxxx.xxx Local Schools Xxxxx Xxxxxxx xxxxx.xxxxxxx@xxxxxxxxxxxxxx.xxx (000-) 000-0000 INSTITUTO HEALTH SCIENCE CAREER ACADE Xxxxx Xxxxxx, Ed.D. x.xxxxxx@xxxx.xxx 000-000-0000 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: Xxxxxx & Associates, Inc. DBA AC Language School (Name of Corporation) Xxxx X. Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Angeles 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 President (Title/Position of person signing proposal/offer document within the corporation) CORPORATE SEAL 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 01/07/2022 SIGNATURE 0 /07/2022 DATE TIPS RFP # 211002 210601 Required Confidential Information Status Form Xxxxxx & AssociatesJuice Technologies Inc., Inc. DBA AC Language School N a m e dba Plug Smart Name of c o m p a n y N company Xxxx Xxxxxx, Director of p y P r in t e d N a m e Project Development Printed Name and Title of aut P int d N d Title of u horized authorized company officer declaring below the confidential status of material 000 Xxxxxxx Xxx. Sugar Land TX 77498 832Xxxxxxxx Xxxxx Xxxx., Xxx X Xxxxxxxxxxx OH 00000 (000) 000-588-7762 0000 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 Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OR OPTION 2: I DO NOT CLAIM any of my proposal to be confidential, complete the section below. si r e to expressly waive a t h e c o m procure m.

Appears in 1 contract

Samples: Tips Vendor Agreement

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INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO N Please provide three (3) references, preferably from school districts or other governmental entities who have used your se you 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 Xxxxx ISD Xxxxxxx Xxxxx, M. Ed. xxxxxxx.xxxxx@xxxxxxxx.xxx (000) 000-0000 Xxxxxx ISD Xxxxx Lexington School District Xxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Valley View ISD Xx. Xxxxxxx X. Meyers xxxxxxxxx@xxxxxxxxx0.xxx xxxxx.xxxx@xxxxx.xxxx.xxx xxxxxxxxxxxxxx@xxxxxxxxxx.xxx xxxxxxxx@xxxxxxxx.xxx 000-000-0000 INSTITUTO HEALTH SCIENCE CAREER ACADE Xxxxxxx Community College Xxxxx Xxxxxx, Ed.D. x.xxxxxx@xxxx.xxx Xxxx 000-000-0000 CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATIONXxxxxxx County Florida Xxxxxxx Xxxxxxx 000-000-0000 Metra Rail, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: Xxxxxx & Associates, Inc. DBA AC Language School (Name of Corporation) Xxxx X. Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Angeles 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 President (Title/Position of person signing proposal/offer document within the corporation) CORPORATE SEAL 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 01/07/2022 SIGNATURE 0 /07/2022 DATE Chicago IL Xxxxxxxx Xxxxxxx 000-000-0000 TIPS RFP # 211002 210701 Required Confidential Information Status Form Xxxxxx & AssociatesAzura Investigations, Inc. DBA AC Language School N a m e LLC Name of c o m p a n y N of p y P r in t e d N a m e company Xxxxxxx Xxxxxx-Managing Director Printed Name and Title of aut P int d N d Title of u horized authorized company officer declaring below the confidential status of material 000 Xxxxxxx Xxx. Sugar Land TX 77498 832XX Xxx 0000 Xxxxx Xxxx XX 87567 505-588395-7762 7712 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 Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OR OPTION 2: I DO NOT CLAIM any of my proposal to be confidential, complete the section below. si r e to expressly waive a t h e c o m procure m.

Appears in 1 contract

Samples: Tips Vendor Agreement

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO N NOT HAND Please provide three (3) references, preferably from school districts or other governmental entities who have used your se 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 Anchorage School District Xxxxx ISD Xxxxxxx XxxxxXxxxxxxxx, M. Ed. xxxxxxx.xxxxx@xxxxxxxx.xxx Assistant Director xxxxxxxxx_xxxxx@xxxx00.xxx (000) 000-0000 Xxxxxx ISD Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx.xxx Bethel School District Xxxxxxx Xxxxx, Support Specialist xxxxxx@xxxxxxxx.xxx (000-) 000-0000 Valley View ISD Xx. Xxxxxxx X. Meyers xxxxxxxx@xxxxxxxx.xxx County Public Schools Xxxxxxx Xxxxxxx, Related Services Agency Liaison xxxxxxxx@xxxxx.xxx (000-) 000-0000 INSTITUTO HEALTH SCIENCE CAREER ACADE Xxxxx XxxxxxJuneau Borough School District Xxxxxx Xxxxx, Ed.D. x.xxxxxx@xxxx.xxx Special Education xxxxxx.xxxxx@xxxxxxxxxxxxx.xxx (000-) 000-0000 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: Xxxxxx & AssociatesAMN Allied Services, Inc. DBA AC Language School LLC (Name of Corporation) Xxxxxxxx Xxxx X. Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Angeles Xxxxxx Xxxxxxx Xxxxxxxx (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 President Bid Manager (Title/Position of person signing proposal/offer document within the corporation) CORPORATE SEAL 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 01/07/2022 SIGNATURE 0 /07/2022 11/17/2021 DATE TIPS RFP # 211002 Required Confidential Information Status Form Xxxxxx & AssociatesAMN Allied Services, Inc. DBA AC Language School N a m e LLC Name of c o m p a n y N of p y P r in t e d N a m e company Xxxxxxx Xxxxxxxx, Bid Manager Printed Name and Title of aut P int d N d Title of u horized authorized company officer declaring below the confidential status of material 000 Xxxxxxx 00000 X. 000xx Xxx., Xxx. Sugar Land TX 77498 832-588-7762 000 Broomfield CO 80021 800.236.8038 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 Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OR OPTION 2: I DO NOT CLAIM any of my proposal to be confidential, complete the section below. si r e to expressly waive a t h e c o m procure m.

Appears in 1 contract

Samples: Tips Vendor Agreement

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