Reference Form. Respondent’s Name: This form must be completed by the person giving the reference on the Respondent. For purposes of this form, the Respondent is the business entity that currently or has previously provided services to your organization, and is submitting a reply to a Department of Management Services (DMS) competitive solicitation. Upon completion of this form, please return original to Respondent so they may include in their response to DMS’s competitive solicitation.
Reference Form xlsx Required Confidentiality Claim Form 230103 Required Confidentiality Claim Form.pdf Conflict of Interest Questionnaire - Form CIQ No response Disclosure of Lobbying Activities - Standard Form - LLL No response Current Form W-9 Xxxxxxxx, Inc. (1).pdf
Reference Form xls Required Confidentiality Claim Form 230103 Required Confidentiality Claim Form - Executed.pdf Conflict of Interest Questionnaire - Form CIQ No response Disclosure of Lobbying Activities - Standard Form - LLL No response Current Form W-9 2022 SG360 W9 Corp LLC-P signed.pdf
Reference Form. Linx’s Reference Form, as filed with the CVM on the date hereof and updated by the other documents available on the CVM website, is, in its material aspects, complete and does not contain, on this date, and, as it may be further updated until the Closing date, will not contain on the delivery date of the Reference Form, any untrue information or statement about a relevant event or omission of information or relevant event that may cause the information and statements contained in Linx’s Reference Form, in the circumstances in which they were made, not to be true, complete and consistent and/or misleading to Linx’s investors.
Reference Form. Sinqia’s Reference Form, as filed with the CVM, is complete in all material aspects and does not contain any untrue information or statement about a relevant event or omission of information or relevant event that may cause the information and statements contained in Sinqia’s Reference Form not to be true, complete, consistent and/or misleading. On this date, except for the disclosure of the material fact notices related to the Transaction, there is no material fact pending disclosure to the market by Sinqia. Prior to the execution of this Agreement, Xxxxxx has not disclosed to Evertec Inc, Evertec BR or its Representatives any material non-public information.
Reference Form. 230505 Reference Form1 Completed.xlsx The Reference Form must be downloaded from the “Attachments” section of the IonWave eBid System, reviewed, properly completed, and uploaded to this location. The Reference Form must be uploaded in Excel format. 230505 Required Confidentiality Claim Form Completed and Signed.pdf The Required Confidentiality Claim Form must be downloaded from the “Attachments” section of the IonWave eBid System, reviewed, properly completed, and uploaded to this location. This is the only way for Vendor to assert confidentiality of any information submitted. Do not upload this form unless you have a reportable conflict with TIPS. There is an Attribute entitled “Conflict of Interest Questionnaire Requirement” immediately followed by an Attribute entitled “Conflict of Interest Questionnaire Requirement – Form CIQ – Continued.” Properly respond to those Attributes and only upload this form if applicable/instructed. If upload is required based on your response to those Attributes, the Conflict of Interest Questionnaire – Form CIQ must be downloaded from the “Attachments” section of the IonWave eBid System, reviewed, properly completed, and uploaded at this location.
Reference Form. 230703 Reference FormCompleted.xls The Reference Form must be downloaded from the “Attachments” section of the IonWave eBid System, reviewed, properly completed, and uploaded to this location. The Reference Form must be uploaded in Excel format. Claim Form.pdf
Reference Form. 231102 Reference Form JOC (Parts 1 & 2).xls The Reference Form must be downloaded from the “Attachments” section of the IonWave eBid System, reviewed, properly completed, and uploaded to this location. The Reference Form must be uploaded in Excel format. Form.pdf
Reference Form. 231102 Reference Form JOC (Parts 1 & 2).xlsx The Reference Form must be downloaded from the “Attachments” section of the IonWave eBid System, reviewed, properly completed, and uploaded to this location. The Reference Form must be uploaded in Excel format. Claim Form - ADSMS.pdf
Reference Form xls Required Confidentiality Claim Form 230103 Required Confidentiality Claim Form.pdf Conflict of Interest Questionnaire - Form CIQ No response Disclosure of Lobbying Activities - Standard Form - LLL No response Current Form W-9 2023 W9 Aqua One.pdf Certificates & Licenses (Supplemental Vendor Information Only) AquaOneLLC - 2019 HUB Cert (4).pdf
