Logo and Other Company Marks. BSELogo_with_TCR division.jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone (Required by some participating governmental entities). Vendor certifies that their firm is a D/M/WBE or HUBZone? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. Proof may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg New Gateway Logo 6 Locati If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary Supplem section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS DISCLOSURE OF CONFLICT OF INTEREST FORM - FILE ONLY IF THERE IS A CONFLICT TO REP ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in th documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION CERTIFICATION OF CORPORATE OFFERER FORM from Gate COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response Disclosure_of_Lobbying_Activities_Standard_Form_LLL from Gate ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard St Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 210301 CONFIDENTIALITY CLAIM FORM.pdf FORM from Gate REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf Gateway You are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be w utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, 9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the event that you are aw If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim which is an attachment to this solicitation. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). entiti Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” Attachment D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZon defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg AS_Logo Blk (1).jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION Certification by Corporate Offerer.pdf COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf Signed W-8BEN-E - Jan 05 2021.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg Ful Circle - small scale.jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 210801 CONFIDENTIALITY CLAIM FORM.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE FCT W-9.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone (Required by some participating governmental entities). Vendor certifies that their firm is a D/M/WBE or HUBZone? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO YES Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. Proof may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg 2020_Trox_Logo-FullColor-NoTag-01.png If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf 210101 Confidentiality Claim Form - CDI.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf Form W9 - CDI.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg GDrive_Logo_320x132 (1).png If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf 210101_CONFIDENTIALITY_CLAIM_FORM.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf W8 Form.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg 2020_Trox_Logo-FullColor-NoTag-01.png If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION 210103 Certification of Corporate Authority - Trox.pdf COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf 210103 Confidentiality Claim Form - Trox.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf Form W9 - Trox.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg AGM Logo 1.jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 221004 CONFIDENTIALITY CLAIM FORM.pdf FORM combinepdf.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf AGM W9 2022.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone (Required by some participating governmental entities). Vendor certifies that their firm is a D/M/WBE or HUBZone? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO YES Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. Proof may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg 2020_Trox_Logo-FullColor-NoTag-01.png If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary Supplem entary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 2 25 px - .png, .eps, .jpeg preferred Certification Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in t he Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer Form- - COMPLETE ONLY IF OFFERER IS A CORPORATION Corporate Resolution - Trox.pdf COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response Lobbying Disclosure - Trox.pdf ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard St andard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf Confidential Status - Trox.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired desire d attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). enti ties) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response AttachmentsAttac hments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/oh p Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB HU B CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg Reveal Medical Logo - TIPS.jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Certification Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer Form- - COMPLETE ONLY IF OFFERER IS A CORPORATION No response COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf 200804_CONFIDENTIALITY_CLAIM_FORM Reveal Medical - signed.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf W-9 REVEAL SUITS & REVEAL MEDICAL.pdf 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. Response Attachments W-9 REVEAL SUITS & REVEAL MEDICAL.pdf W-9 Form - Reveal Medical<br/> Tarrant County Reference Letter - Reveal Medical and Reveal Suits.pdf Reference Letter<br/> Reveal_ Medical TIPS_CatalogAd_pic2.pdf TIPs Advertisement<br/> Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO YES Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg 2020_Trox_Logo-FullColor-NoTag-01.png If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary Supplem entary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 2 25 px - .png, .eps, .jpeg preferred Certification Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in t he Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer Form- - COMPLETE ONLY IF OFFERER IS A CORPORATION Corporate Resolution - Trox.pdf COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response Lobbying Disclosure.pdf ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard St andard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf Confidential Status - Trox.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired desire d attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). enti ties) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response AttachmentsAttac hments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/oh p Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB HU B CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg Reveal Medical Logo - TIPS.jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Certification Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS CIQ_Questionnaire Form - TIPS-USA.pdf Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer Form- - COMPLETE ONLY IF OFFERER IS A CORPORATION No response COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response TIPS - Disclosure_of_Lobbying_Activities_Standard_Form_LLL (2).pdf ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf TIPS - 200901_CONFIDENTIALITY_CLAIM_FORM.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf Reveal Medical W-9 Form.pdf 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. Response Attachments Reveal Medical W-9 Form.pdf Reveal Medical Inc W-9<br/> Southwest ISD Award Notice.pdf Southwest ISD Award Letter<br/> Xxxxx ISD Award Letter 2020-Jul-63.pdf Xxxxx ISD Award Letter<br/> Plano ISD Award Letter 2020-026.pdf Plano ISD Award Letter Tarrant County Reference Letter - Reveal Medical and Reveal Suits.pdf Tarrant County Reference Letter Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg 2020_Trox_Logo-FullColor-NoTag-01.png If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Certification Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS CIQ - Trox.pdf Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer Form- - COMPLETE ONLY IF OFFERER IS A CORPORATION Corporate Signer - Trox.pdf COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response Lobbying - Trox.pdf ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf Confidentiality - Trox.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg docx If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary Supplem entary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 2 25 px - .png, .eps, .jpeg preferred Certification Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in t he Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer Form- - COMPLETE ONLY IF OFFERER IS A CORPORATION 16 - CERTIFICATION_OF_CORPORATE_OFFERER_FORM 12-17-19 signed.pdf COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard St andard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf 18 - CONFIDENTIALITY_CLAIM_FORM 12-17-19.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired desire d attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone (Required by some participating governmental entities). Vendor certifies that their firm is a D/M/WBE or HUBZone? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. Proof may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg png If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary Supplem entary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 2 25 px - .png, .eps, .jpeg preferred Certification Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in t he Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer Form- - COMPLETE ONLY IF OFFERER IS A CORPORATION 16. CERTIFICATION_OF_CORPORATE_OFFERER_FORM signed.pdf COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response 17. Disclosure_of_Lobbying_Activities_Standard_Form_LLL signed.pdf ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard St andard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf 18. CONFIDENTIALITY_CLAIM_FORM rev111819RP.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired desire d attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). enti ties) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response AttachmentsAttac hments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/oh p Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB HU B CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg Diversified Logo 1.jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Certification Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer Form- - COMPLETE ONLY IF OFFERER IS A CORPORATION CERTIFICATION OF CORPORATE OFFERER FORM signed.pdf COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf 200904 CONFIDENTIALITY_CLAIM_FORM Signed.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf Diversified W9.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg Zed Security Z-1.jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION CERTIFICATION OF CORPORATE OFFERER FORM.pdf COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 210304 CONFIDENTIALITY CLAIM FORM.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE ZED W-9.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg LCD7 (300x128) Logo.jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Certification Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS LCD - TIPS CIQ Form.pdf Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer Form- - COMPLETE ONLY IF OFFERER IS A CORPORATION LCD - TIPS Certification Corp Offerer.pdf COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf Confidential Info - LCD Concepts.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf LCD - TIPS W9.pdf 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. Response Attachments Thermal MidRange Hardware Specifications.pdf Thermal MidRange Hardware Specifications<br/> Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg New Gateway Logo 6 Locati If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary Supplem section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Certification Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS DISCLOSURE OF CONFLICT OF INTEREST FORM - FILE ONLY IF THERE IS A CONFLICT TO REP ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in th documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certificate of Corporate Offerer Form- - COMPLETE ONLY IF OFFERER IS A CORPORATION CERTIFICATION OF CORPORATE OFFERER F COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response Disclosure_of_Lobbying_Activities_Standard_Form_ ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard St Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf CONFIDENTIALITY_CLAIM_FORM rev11181 REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). entiti Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” Attachment D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZon defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? YesNo
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg Stuffit Logo_300x73.png If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Conflict of Interest Form CIQ- ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS ONLY REQUIRED IF A CONFLICT EXISTS PER THE INSTRUCTIONS No response Conflict of Interest Form for Vendors that are required to submit the form. The Conflict of Interest Form is included in the Base documents or can be found at xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf. Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf TIPS Confidentiality Waiver.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf w9_4_30_20.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone WBE (Required by some participating governmental entities). ) Vendor certifies that their firm is a D/M/WBE or HUBZoneWBE? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/ or in a HUBZone as defined by the US Small Business Administration at xxxxx://xxx.xxx.xxx/offices/headquarters/ohp Proof of one or both may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement
Logo and Other Company Marks. BSELogo_with_TCR division.jpg AGM Logo 1.jpg If you desire, please upload your company logo to be added to your individual profile page on the TIPS website. If any particular specifications are required for use of your company logo, please upload that information under the Supplementary section or another non-required section under the “Response Attachment” tab. Preferred Logo Format: 300 x 225 px - .png, .eps, .jpeg preferred Certification of Corporate Offerer Form- COMPLETE ONLY IF OFFERER IS A CORPORATION COMPLETE AND UPLOAD FORM IN ATTACHMENTS SECTION ONLY IF OFFERER IS A CORPORATION No response Disclosure of Lobbying Activities Standard Form LLL No response ONLY IF you answered "I HAVE Lobbied per above" to attribute #66, please download and complete and upload the Standard Form-LLL, “disclosure Form to Report Lobbying,” in the Response attachments section. Confidentiality Claim Form 220802 CONFIDENTIALITY CLAIM FORM.pdf TIPS Confidential Form combinepdf.pdf REQUIRED CONFIDENTIALITY FORM. PLEASE READ CAREFULLY AND FOLLOW THE INSTRUCTIONS. Complete the form according to your company requirements, make any desired attachments and upload to the appropriate section under "Response Attachments" THIS FORM DETERMINES HOW ESC8/TIPS RESPONDS TO LEGAL PUBLIC INFORMATION REQUESTS. Current W-9 Tax Form BSE W-9.pdf W9-AGM Energy 4 2022.pdf 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. Bid Attributes Yes - No Disadvantaged/Minority/Women Business Enterprise - D/M/WBE/Federal HUBZone (Required by some participating governmental entities). Vendor certifies that their firm is a D/M/WBE or HUBZone? Vendor must upload proof of certification to the ”Response Attachments” D/M/WBE CERTIFICATES section. NO YES Yes - No Historically Underutilized Business - HUB (Required by some participating governmental entities) Vendor certifies that their firm is a HUB as defined by the State of Texas at xxxxx://xxxxxxxxxxx.xxxxx.xxx/purchasing/vendor/hub/. Proof may be submitted. Vendor must upload proof of certification to the “Response Attachments” HUB CERTIFICATES section. 2 No Yes - No The Vendor can provide services and/or products to all 50 US States? Yes
Appears in 1 contract
Samples: Tips Vendor Agreement