Common use of Upload of Current W-9 Required Clause in Contracts

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 2 contracts

Samples: Tips Vendor Agreement, Tips Vendor Agreement

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Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 2 REFERENCES for Integral Mathematics, Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within with 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 Birdville ISD Xxxxxxx Xxxxxx Brothers (for Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxx- Math coordinator) Xxxxxxx.Xxxxxx@xxxxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Dallas ISD Xxxxxxx Xxxxxx (for Xxxxxx Xxxxxx - Math coordinator) xxxxxxx@xxxxxxxxx.xxx 000-000-0000 #SensitivityXxxxxxxxx ISD Xxxxx Xxxxxxxx (Math coordinator) XxxxxXxxxxxxx@xxxxxxxx.xxx 000-000-0000 The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company's compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Any changes made to your company’s information may require the HUB Program to re-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on behalf state procurement resources that can increase your company's chances of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below doing business with the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1200134325500 File/Vendor Number: 471182 Approval Date: 19-OCT-2018 Scheduled Expiration Date: 19-OCT-2022 The Texas Comptroller of your proposal Public Accounts (CPA), hereby certifies that INTEGRAL MATHEMATICS, INC. has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate printed 19-OCT-2018, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)(i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business' application for registration/certification as a HUB, you must attach immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a copy compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of all claimed confidential materials within your proposal ineligibility. Xxxxx Xxxxx-Xxxxxxxx, Statewide HUB Program Manager Statewide Support Services Division Note: In order for State agencies and put institutions of higher education (universities) to be credited for utilizing this COMPLETED form business as a cover sheet HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. verify the company's HUB certification prior to issuing a notice of award by accessing the Internet (You must include all xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp) or by contacting the confidential information HUB Program at 000-000-0000 or toll-free 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 RequestTexas at 0-000-000-0000.) 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 2 contracts

Samples: Vendor Agreement, Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal W NInternal Revenue Service (IRS) Tax Form Norm for your This you form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, propo this W-9 WNN may be accessed by TIPS Members for the purpose of making maNing TIPS purchases from you in the e you are awarded. event that y If you wish to designate your required W-9 WNN confidential, please do so according to the terms of the Confidentiality Claim Form which Cla is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within 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 Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx 000Responsive Ed Superintendent Xxxxx Xxxxxxx-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 Xxxxx xxxxxxxx@xxxxxxxxxxxx.xxx Xxxxx Bluff ISD Campus Director - Xxxxx Xxxxx xx Xxxx xxxxxxxxxxxx@xxxxx.xxx Houston ISD Area Director Xxxxx Xxxxx XXxxxx@xxxxxxxxxx.xxx TIPS RFP # 210303 N00N03 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. Intervene Name of company Xxxxx XxXxxxx CEO Printed Name and Title of authorized company officer declaring below the confidential status of material PO Nox NNNN Stafford TX 77NN7 (N55) 3N5N3N7N Address City State ZIP Phone NNNNNNNNNNNNNNNNNANLNLNVNENNNDNONNRNS NMNUNSNTNNCNONMNPNLNENTNENTNHNENANBNONVNENNSNECNTNINONNN.NNNNNNNNNNNNNNNN 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 OPTION 2: N0NN5NN0N0 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Birdville Independent School District Xxxxxxxx XxXxxxx xxxxxxxx.xxxxxxx@xxxxxxxxxxxxxxxx.xxx (000-) 000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Fort Bend Independent School District Xxxxxxx Xxxxxx xxxxxxx.xxxxxx@xxxxxxxxxxx.xxx (000-) 000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Lake Xxxxxx Independent School District Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxxxx.xxx (000) 000-92DE0000 Xxxxx Independent School District Xxxx Xxxxxxx xxxx.xxxxxxx@xxxxxxxx.xxx (000) 000-CB91E71E0AF6 0000 TIPS RFP # 210303 210101 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Blackboard Inc. Name of company Xxxx Xxxxx X. Xxxxxx - Deputy General Counsel Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 VA 20190 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. OPTION 1: 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 2-9 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 May 19, 2021 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Purchasing Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES for Xxxxxx Industries Inc Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within 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 Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx COFCO Xxxxx Xxxxx xxxxxx@xxxxxxxxxx.xxx 000-000-0000 Bank Street College New Day Office Products & Furnishings Inc Xxxxxxx Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx xxxxxxx_x@xxxxxxxxxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Dept of the Air Force/353 SWTS Xxxxx Xxxxxx xxxxx.xxxxxx.1@xx.xx.xxx 000-92DE000-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf 0000 TERMS AND CONDITIONS OF SALE Credit and Payment Terms Xxxxxx Industries does not allow for automatic open account terms for new customers, current customers whose accounts are in arrears, nor for individuals, or non-commercial purposes. A credit application will be sent to each new customer. New customers are encouraged to begin establishing a credit rating with Xxxxxx Industries prior to placing an order. Our customers are responsible to provide the necessary current and accurate information. Orders are 50% due upon receipt and 50% net 30 if approved. Xxxxxx Industries will apply a 1-1/2% per month service charge to all past due accounts. Accounts that are 90 days past due will be subject to collection proceedings without any additional notice. If legal action is necessary to settle collection proceedings, the purchaser agrees to pay Xxxxxx’ incurred legal representation fees and/or court costs. Orders will not be processed for past due accounts until the amount due, including any service charges, is paid in full. Orders will not be scheduled for production until the deposit is received. A bank letter of itself credit may be required for any order over $50,000 net. Prices Our prices are list; freight prepaid, F.O.B. Maple Grove, Minnesota, and affiliates Name are subject to change without notice. Quoted prices must be accepted within 30 days or re-quoted for date and approval. Freight is prepaid and allowed for normal ground transportation within the 48 contiguous states, must ship to dock location. Air freight, will calls, and special delivery will be quoted and invoiced separately. Prices do not include installation, storage, or sales tax. Packaging Xxxxxx Industries’ pricing includes packing for North American shipment. Only environmentally safe packing materials are used. Large furniture pieces will be packed with wood reinforcements for added protection. For special packaging, crating or overseas shipment, please contact Xxxxxx Industries for a quote. Delivery Xxxxxx Industries will select the method of shipment, carrier, and routing. Carrier selection is solicited to provide the best service to each customer in their location. All shipments are sent prepaid, FOB Maple Grove, Minnesota. Xxxxxx Industries’ liability ends when the carrier issues a receipt to Xxxxxx Industries. This is acknowledgement by the transportation company Xxxxx X. Xxxxxx Printed Name that the shipment has been received by the freight company in good condition and Title title of authorized company officer declaring below the confidential goods and risk of loss transfers to the buyer. The order shall be considered complete. Prepaid freight does not change the F.O.B. status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information the product 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 risks involved 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 Invoices relevant 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section belowpartial shipments are payable as they fall due.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 IIIuminate Education TIPS References REFERENCES Please PIease provide three (3) references, preferably preferabIy from school schooI districts or other governmental governmentaI entities who have used your services within the last Iast three years. Additional AdditionaI references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Houston Independent SchooI District Xxxxxxxxx Xxxxx- Xxxxxxxx xxxxxx@xxxxxxxxxx.xxx (000-) 000-0000 Bank Street College DaIIas Idependent SchooI District Xxxxx Xxxx xxxxx@xxXXxxxxx.xxx 972.925.3700 AIief Independent SchooI Distrcit Nikki GodboIt Xxxxxxx.XxxxxXx@xXxxxxxx.xxx 346−201−1485 Xxxxxxx Independent SchooI District Xxxxx Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal M.Ed Xxxxxxxxx@xxxx.xxx 817−615−3601 Ext. 4053 DocuSign Envelope ID: 6BB80CBF-52BA-4DF3C099A2A1-92DEC595-CB91E71E0AF6 4427-8B20-DCEC29F0AA4B Scokk Virk1er COO COO Chief Operating Officer 2/10/2021 DocuSign Envelope ID: C099A2A1-C595-4427-8B20-DCEC29F0AA4B TIPS RFP # 210303 210101 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Illuminate Education, Inc. Name of company Xxxxx X. Xxxxxx Xxxxxxx, Chief Operating Officer Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxxx, Xxxxx 000 Xxxxxx XX 00000 (000) 000-0000 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. OPTION 1: 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. REFERENCES 11 PRODUCTIONS Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone North East ISD Xxxxxx Brothers Xxxxxxxxxx xxxxxxx@xxxxx.xxx 210-407-0000 South San Antonio ISD Xxxxxxxx Xxxxxxx j xxxxxxx@xxxxxxxxxxx.xxx 210-977-7000 Southside ISD Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxxx.xxxxxx@xxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 200604 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of t the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxx Independent School District Xxxxx Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxxxx@xxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3East Grand School District Xxxx Xxxxxxxxx xxxx.xxxxxxxxx@xxxx.xxx 000-92DE000-CB91E71E0AF6 0000 x000 000-000-0000 McAllen Independent School District Xxxxxx Xxxxxxxxx xxxxxx.xxxxxxxxx@xxxxxxxxxx.xxx 000-000-0000 Pearland Independent School District Xxxx Xxxxxx Xxxxxxx@xxxxxxxxxxx.xxx 000-000-0000 Xxxxxx Independent School District Xxxx Xxxxx rojeda@wallerisdnet 000-000-0000 Center Independent School District Xxxxxxx Xxxxxx xxxxxxx.xxxxxx@xxxxxxxxx.xxx 000-000-0000 TIPS RFP # 210303 200601 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: C1 Fiber, LLC Name of company Xxxxxxx X. Xxxxxx, Owner Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 X 00xx Xx, Xxx X-0 #000 XxXxxxx XX 00000 (956) 793-1700 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: 6/4/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES TECHNOLOGY ASSETS LLC dba GLOBAL ASSET Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within ser the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Town of Little Elm Xxxxx Westenhoeffer xxxxxxxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Grand Prairie ISD Xxxxx Xxxxxxx xxxxxxxxxxx.xxxxxxx@xxxxx.xxx 000-000-0000 #SensitivityCommerce ISD Xx Xxxxx xx.xxxxx@xxxxxxxxxxx.xxx 000-000-0000 Rockwall ISD Xxxxx Xxxxxx xxxxx.xxxxxx@xxxxxxxxxxx.xxx 000-000-0000 Eagle Mountain-Saginaw ISD Xxxx Xxxxxxx xxxxxxxx@xxx-xxx.xxx 000-000-0000 X 0000 200604 The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company's compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Any changes made to your company’s information may require the HUB Program to re-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on behalf state procurement resources that can increase your company's chances of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below doing business with the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1272802338800 File/Vendor Number: 465973 Approval Date: 14-JUN-2019 Scheduled Expiration Date: 14-JUN-2023 The Texas Comptroller of your proposal Public Accounts (CPA), hereby certifies that TECHNOLOGY ASSETS, LLC DBA GLOBAL has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate printed 14-JUN-2019, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)(i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business' application for registration/certification as a HUB, you must attach immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a copy compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of all claimed confidential materials within your proposal ineligibility. Xxxxx Xxxxx-Xxxxxxxx, Statewide HUB Program Manager Statewide Support Services Division Note: In order for State agencies and put institutions of higher education (universities) to be credited for utilizing this COMPLETED form business as a cover sheet HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submissionverify the company's HUB certification prior to issuing a notice of award by accessing the Internet (xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp) or by contacting the HUB Program at 000-000-0000 or toll-free in Texas at 0-000-000-0000. (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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Rev. 06/16 3/10/2015 8/3/2016

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. REFERENCES - BerryDunn Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx City of Farmers Branch Xxxx Xxxxxxx xxxx.xxxxxxx@xxxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University City of America Betsy Ramsey xxxxxx@xxx.xxx Xxxxxx Xxxxxx Meine, Chief Tech Officer xxxxxxxxxxxx@xxxxxxxxxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3City of Midland Xxxxxxxx Fescaz, Chief Info Officer xxxxxxxx@xxxxxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 City of Pearland Xxxx XxXxxxxx Budget Officer xxxxxxxxx@xxxxxxxxxx.xxx 000-000-0000 City of Xxxxxxxxxxx Xxxxx Xxxxxx, Chief of Police xxxxxxx@xxxxxxxxxxxxx.xxx 817-598-4310 TIPS RFP # 210303 200601 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: Xxxxx Xxxx XxXxxx & Xxxxxx, LLC Name of company Xxxxxxx Xxxx, Principal Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxxx Xxxxxx Xxxxxxxx Xxxxx 00000 (207) 541-2294 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 Spec Furniture - REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Saint Louis Hospital (SSM) Xxxxx Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx (Dealer) xxxxxxx@xxxxx-xxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Littleton Public Schools Xxxxx Xxxxxx (Dealer) x.xxxxxx@xxxxxxxxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Nationwide Children's Hospital Xxxxx Xxxxxxxxx xxxxx.xxxxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 VA Medica Center, Decatur Xxxxxxx Xxxxx xxxxxxx.xxxxx0@xx.xxx 000-000-0000x 000000 TIPS RFP # 210303 210305 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Spec Furniture Inc. Name of company Xxxxx X. Xxxxxx Xxxxx, Director of Sales and Marketing Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxx Xxxx Xx. Xxxxxxx ON M9W5B1 000-000-0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t 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. OPTION 1: 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: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers General Services Administration Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University xxxxxx.xxxxxx@xxx.xxx Department of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 State - INL Santo Xxxxxxx Xxxxxx Xxxxx XxxxxXX@xxxxx.xxx Chemonics International Xxxxxx Xxxxxxx XXxxxxxx@xxxxxxxxx.xxx General Services Administration Xxxxx X. Duson xxxxx.xxxxx@xxx.xxx US Media Global Xxxxx X. Xxxxxxx xxxxxxxx@xxxxx.xxx NOAA Federal Xxxxxx Xxxxxxx xxxxxx.x.xxxxxxx@xxxx.xxx TIPS RFP # 210303 210101 E-Logic, Inc. Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Xxxxxxx Xxxxxxx - Business Analyst Printed Name and Title of authorized company officer declaring below the confidential status be i of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 lo w th e conf de nti a l st a t u s DC 20036 202-488-9695 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Square Technology Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Beckville ISD Xxxx Xxxxxxx xxxxxxxx@xxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University City of America Betsy Ramsey xxxxxx@xxx.xxx Greenwood Mississippi Xxxxx Xxxxxx xxxxxx@xxxxxxxxxxxxxxxxxx.xxx 000-000-0000 #SensitivityFlatwater Solutions Xxxx Xxxxxx xxxxxxx@xxxxxxxxxxxxxxxxxx.xxx 000-000-0000 LINE CARD Education, Government, Business Xxxxx Xxxxxxx, Account Manager 0000 Xxxxxx, Xx, Xxxxx 000X Xxxxxxxxxx, Xxxxx 00000 Office: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3469-92DE248-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company 7296 xxxxx.xxxxxxx@xxxxxx-xxxxxxxxxx.xxx xxx.xxxxxx-xxxxxxxxxx.xxx Desktops Lenovo Hewlett Packard Super Micro ASUS Dell Acer CyberPowerPC Elo Touch Solutions Laptops Lenovo Dell sonic onic Hewlett Packard Pana ASUS Acer Projectors Sony Epson Maxell ViewSonic Optoma BenQ InFocus Casio Panasonic Vivitek Printers Lexmark Zebra Technologies Hewlett Packard Canon Xerox OKI Epson Panasonic Wasp Barcode Office Machines Hewlett Packard Canon Casio Scanners Zebra Technologies Fujitsu Canon Kodak Epson Wasp Barcode Visioneer Adesso Panasonic Plustek Xerox Hard Drives & Storage Veritas Hewlett Packard Seagate Western Digital Samsung Kingston Buffalo Axiom Kanguru QNAP Tape Backup Lenovo Acronis ioSafe Quantum Hitachi Global Hewlett Packard Software & Licensing Adobe Cisco Systems Corel Kaspersky Microsoft Norton Sonicwall Symantec Veeam Flash Drives Transcend Centon Kingston SanDisk ADATA Lexar PNY Corsair Edge Memory Memory Kingston Edge Memory Hewlett Packard Patriot Memory Dataram Samsung SK Hynix CORSAIR Transcend PNY Networking Cisco Hewlett Packard Black Box NETGEAR D-Link Zyxel TP-Link Linksys Fortinet Ubiquiti TRENDnet Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Lite Juniper Networks Tenda IOGEAR SonicWall Keyboards & Mice Logitech Microsoft Kensington Adesso Components & Accessories ASUS MSI Intel EVGA XFX C2G PNY AMD SIIG VisionTek StarTech GIGABYTE Xxxxx Lite Zotac Matrox Graphics IOGEAR Cables Panduit C2G Belkin Xxxxx Lite XxxxXxxx.xxx Black Box AddOn Networks Cisco QVS Monoprice Xxxxxxxxx Electric 4XEM KVM Pelco Black Box XXXX Xxxxx Lite Bosch XxxxXxxx.xxx IOGEAR Rose Electronics Belkin Communications Uniden Whistler 3M Audio & Video Sony Xxxx Califone Kensington Ergoguys ViewSonic XXXX Audio Jabra Logitech Chief 4XEM Televisions Samsung VIZIO LG Electronics Peerless Industries Premier Mounts Chief Video Surveillance Hikvision Axis Communications Bosch Vivotek Lorex Panasonic QNAP Sony Q-See D-Link TRENDnet Digital Cameras & Camcorders Canon Sony Atlona YI Technology

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Carrollton Farmers Branch ISD - Ranchview High School Xxxxxx Brothers Xxxxx xxxxxx@xxxxxx.xxx 972-968-5000 Conroe ISD - Caney Creek High School Xxxx Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Bank Street College Dallas Baptist University Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Xxxxx Courtneyb@dbu.edu¾ 000-000-0000 #SensitivityCERTIFICATION 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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC Performance Health Supply Inc. , DBA Medco Supply Company (Name of Corporation) Xxxxxxxx Xxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of itself and affiliates Name the corporation offerer is the authorized person that is acting as Sales Support Coordinator (Title/Position of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below person signing proposal/offer document within the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8corporation) 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 materialssaid 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. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIALCORPORATE SEAL if available SIGNATURE 2/26/21 DATE Who We Are Provider of Athletic Training, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIALSports Performance, and Strength & Conditioning Supplies & Equipment We are the nation’s largest manufacturer and distributor of supplies and equipment to professionals in athletic training, strength & conditioning, and sports performance industry. 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 PROPOSALWe have the most comprehensive breadth of products available through our owned brands and vendor relationships. Signature Date OPTION 2Built on providing outstanding customer service through experienced sales and support representatives, we always go above and beyond for our customers. For over 60 years we have been helping the sports medicine industry feel good, perform better and live their best. Core Competencies Athletic Tape Athletic Training Kits, Bags & Cases Athletic Training Room Furniture Bandages & Wound Dressings Casting & Splinting Emergency Response First Aid & Health Education Infection Prevention Medical Diagnostics & Instruments Medications & Topicals Orthopedic Braces & Supports Protective Gear & Apparel Rehabilitation & Exercise Rehydration & Heat Stress Relief Strength Training & Cardio Therapeutic Modalities Differentiators More than 25,000 products including hard-to-find specialty items Largest Sports Medicine Catalog both print and online Best in Class Digital capability mobile order processing EDI and Punchout solutions Sales Representation to provide support in every state Dedicated Customer Service Experienced professionals available 24/7 CEU’s & Clinical Research Performance Health Academy BOC Approved Provider Trusted brands owned by Medco Sports Medicine Trusted brands distributed by Medco Sports Medicine Andover Athletic Edge BSN DJO & Chattanooga Dukal Game Ready Gatorade Xxxxxxxx Xxxxxxx Conco HyperIce Jaybird Xxxxxxx & Xxxxxxx Kinematic Sports XxXxxxx Medique MedPac Xxxxxxx Normatec Oakworks Pro Orthopedic Powerade Richmar Shock Doctor Under Armour Whitehall Contact Information Medco Sports Medicine 00 Xxxxxxxxxxx Xxxx, Xxx 00 Xxxxxxx, XX 00000 8◇◇–55–MEDCO medco–xxxxxxxxx.xxx Your Representative: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Sales Support Email: xxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx Phone:

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 WN Internal Revenue Service (IRS) Tax Form Norm for your This you form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, propo this W-9 WNN may be accessed by TIPS Members for the purpose of making maNing TIPS purchases from you in the e you are awarded. event that y If you wish to designate your required W-9 WNN confidential, please do so according to the terms of the Confidentiality Claim Form which Cla is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within 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 Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx 000Responsive Ed Superintendent Xxxxx Xxxxxxx-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 Xxxxx xxxxxxxx@xxxxxxxxxxxx.xxx Harts Bluff ISD Campus Director - Xxxxx Xxxxx xx Xxxx xxxxxxxxxxxx@xxxxx.xxx Houston ISD Area Director Xxxxx Xxxxx XXxxxx@xxxxxxxxxx.xxx TIPS RFP # 210303 N00N03 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. Intervene Name of company Xxxxx XxXxxxx CEO Printed Name and Title of authorized company officer declaring below the confidential status of material PO Nox NNNN Stafford TX 77NN7 (N55) 3N5N3N7N Address City State ZIP Phone NNNNNNNNNNNNNNNNNANLNLNVNENNNDNONNRNS NMNUNSNTNNCNONMNPNLNENTNENTNHNENANBNONVNENNSNECNTNINONNN.NNNNNNNNNNNNNNNN 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 OPTION 2: N0NN5NN0N0 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. Leave this file an Excel - DO NOT FIRETRON INC REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within service the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. Verify your references emails are deliverable and that they agree to provide a reference. Failure to do this may You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx XXXXX CISD Yesidro Merlos xxxxxxx@xxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx CY FAIR ISD Xxx Xxxxxx xxx.xxxxxx@xxxxx.xxx 000-000-0000 #SensitivityCLEARCREEK ISD Xxx Xxxxx xxxxxx@xxxxx.xxx 000-000-0000 GALENA PARK ISD XXXXXX XXXXXXX xxxxxxxx@xxxxxxxxxxxxx.xxx 000-000-0000 COLLEGE STATION ISD Xxxxxx Xxxx xxxxx@xxxxx.xxx 000-000-0000 Proposed Goods and Services DATE:June 17,2021 FROM: Internal DocuSign Envelope IDXxxxxxx Xxxxxxxx RE: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself GOODS AND SERVICES OFFERED = FIRETRON INC is a Low Voltage integrator who Offers: Design , Product , Installation and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable service 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.2 major TIME CLOCK Lines

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS TlPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. Please verify your references are current and valid, as they are a SIGNIFICANT required evaluation component of the PART 2 evaluation process, and the evaluation cannot be completed without responses from these references when we contact them. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxx ISD Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxx, Superintendent xxxxxx.xxxx@xxxxxxxx.xxx (000-) 000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx New Boston ISD Xxxx Xxxxxxxx, Maintenance Supervisor xxxxxxxxx@xxxxxxxxx.xxx (000-) 000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Clarksville ISD Xxxxxx Xxxxxxx, Maintenance Supervisor xxxxxxxx@xxxxxxxxxxxxxx.xxx (000) 000-92DE0000 Red Water ISD Xxxxx Xxxxx, Superintendent xxxxxx@xxxxxxxxxxx.xxx (000) 000-CB91E71E0AF6 0000 TIPS RFP # 210303 200701 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t 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. OPTION 1: M&T Mitigation and Restoration, LLC dba SERVPRO of Texarkana Name of company Xxxxxxx X. Xxxxxxx (General Manager) Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxxxxx Xx. Wake Village TX 00000 (000)000-0000 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: 7/13/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. REFERENCES Three H Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx NIH Denniese Wright xxxxxxx@xxxx.xxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx City of Lower Xxxxxxx Xxxxxx xxxxxx@xxxxxxxxxxxxx.xxx 724-335-9875 US District Court Xxxxx Xxxxxxxxxxx xxxxx_xxxxxxxxxxx@xxxx.xxxxxxxx.xxx 212-875805-4500 Catholic University 0500 LIMITED LIFETIME WARRANTY Three H Furniture Systems Limited (‘Three H’) provides a limited lifetime warranty on all products sold to the original purchaser by a Three H authorized dealer. Three H warrants that its product will remain functional1 for as long as the original purchaser owns the product. The obligation of America Betsy Ramsey xxxxxx@xxx.xxx 000Three H under this warranty is to repair or replace with a comparable product or component determined to be defective by Three H at no cost to the original purchaser, FOB purchaser’s destination. 1 Remain Functional refers to the products ability to fulfill its original purpose or function. Updated November 2018 EXCEPTIONS TO THIS WARRANTY MAY INCLUDE: WARRANTY CLAIM PROCEDURE • Three H provides a full warranty on our bullnose, wavecrest and prestige wood trim and finish for a period of 3 years after date of delivery. After 3 years, the warranty applies to the wood edge only. General wear and fading of the finish after a 3 year period is not considered a defect. • Three H provides a full warranty on our Workshelf wood legs and finish for a period of 3 years after date of delivery. After 3 years, the warranty applies to the leg only. General wear and fading of the finish after a 3 year period is not considered a defect. • Variation in laminate finish characteristic including color and texture is not considered a defect. • All fabrics including tackboards, panels & cushions are warranted for a period of 5 years after date of delivery. • All lighting products including bulbs, tubes, ballasts and LEDs do not carry a warranty. • All power related products & components carry a 1 year warranty. • All electric height adjustable components carry a 5 year warranty. • Product & components which are not directly manufactured by Three H. In this case warranty is determined by what is offered from the manufacturer of the defective product or component. • Product that is not sold by a Three H authorized dealer. • Product that is not installed & maintained in accordance with Three H’s guidelines & instructions. • Product that is damaged by the end user due to misuse, accident, abuse, negligence or shipping. • Incidental wear to product including scratches & dents occurring from everyday use. • Product that has been altered or re-000configured in any way prior to written approval by Three H. • Product which has received excessive exposure to U.V rays, heat, water or harsh chemicals. • Product that has been damaged due to re-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf installation without the assistance of itself an authorized Three H dealer or installer. • Product that has been subject to conditions that exceed the BIFMA/ANSI standards applicable to that product. • Product that is being used for rental purposes. • Customers own material (COM) provided at the request of the user is not covered by the Three H warranty. • All warranty claims must be authorized by Three H prior to approval. • Claims can be directed to Three H’s warranty & replacement officer by contacting 1.800.767.5374 or by emailing xxxxxx@xxxxx-x.xxx. • Claims must include original order number, as well as a description of return request. • Three H reserves the right to investigate any of the above mentioned exceptions, request digital photos of the product in question, as well as proof of original ownership prior to warranty approval. THIS WARRANTY LIABILITY IS LIMITED TO THE REPLACEMENT OF PRODUCT. THREE H WILL NOT BE HELD LIABLE FOR ANY PERSONAL OR PROPERTY DAMAGE AS WELL AS ANY CONSEQUENTIAL OR INCIDENTAL DAMAGE. THIS WARRANTY EFFECTIVE NOVEMBER 2018 SUPERSEDES ALL PREVIOUS WARRANTIES OFFERED BY THREE H FURNITURE SYSTEMS LIMITED. CARE & MAINTENANCE • Three H laminates can be easily cleaned with warm water and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 mild soaps. Do not use cleansers which contain abrasives, acids or alkalis. Three H Furniture Systems Limited 156462 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Xxxx X.X. Xxx 0000 Xxx Xxxxxxxx XX Xxxxxx X0X0X0 T. 800.767.5374 F. 888.484.5786 xxx.xxxxx-x.xxx Three H Company Description

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers General Services Administration Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxxx.xxxxxx@xxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University Department of America Betsy Ramsey xxxxxx@xxx.xxx State - INL Santo Xxxxxxx Xxxxxx Xxxxx XxxxxXX@xxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Chemonics International Xxxxxx Xxxxxxx XXxxxxxx@xxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 General Services Administration Xxxxx X. Xxxxx xxxxx.xxxxx@xxx.xxx 000-000-0000 US Media Global Xxxxx X. Xxxxxxx xxxxxxxx@xxxxx.xxx 000- 000-0000 NOAA Federal Xxxxxx Xxxxxxx xxxxxx.x.xxxxxxx@xxxx.xxx 000-000-0000 TIPS RFP # 210303 210103 E-Logic, Inc. Name of company Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Xxxxxxx Xxxxxxx - Business Analyst Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t 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. OPTION 1: 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: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 A B C D 1 REFERENCES 3 Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within 4 the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. 6 You may provide more than three (3) references. 8 Entity Name Contact Person VALID EMAIL IS REQUIRED Phone 9 Elgin School District U-46 Xxxxx Xxxxxx Brothers - Senior Buyer xxxxxxxxxxx@x-00.xxx phone: (000) 000-0000 x0000 00 000 Xxxx Xxxxxxx Xxxxxx, Xxxxx, XX Elgin alternate contact: Xxxxxx Xxxxxxx xxxxxxxxxxxxx@x-00.xxx phone: (000) 000-0000 x0000 11 Recurring business relationship since 13 Sharyland Ind School District Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxx, District Librarian xxxxx@xxxxxxxxxxxx.xxx Phone: 000-000-0000 Bank Street 14 0000 Xxxxx Xxxxx Xx, Xxxxxxx, XX 16 College Station Ind Sch Dist 00 0000 Xxxxx Xxxxxx, Xxxxxxx Xxxxxxx, XX 00000 Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Xxxxxxx, Purchasing Specialist xxxxxxxxxxxxxxx@xxxxx.xxx Phone: 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 18 TIPS RFP # 210303 200903 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t 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. OPTION 1: Superior Text Name of company Xxxxx Xxxxx , Admin and Marketing Asst. Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxxxx Xxx Xx Xxxxxxxxx XX 00000 866-482-8762 000-000-0000 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: 10-9-2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 REFERENCES for LAB Information Technology Incorporated Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Abernatty Independent School District Xxxxx Xxxxxxxx, Technology Director xxxxxxxxx@xxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Orangefield Independent School District Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University Xxxxxxxx, Director of America Betsy Ramsey xxxxxx@xxx.xxx Technology xxxxxxxxx@xxxxxxxxxxxxxx.xxx 000-000-0000 #SensitivityMonahans-Xxxxxxx-Pyote ISD Xxxxx Xxx, Technology Director xxxx@xxxxxx.xxx00.xxx 000-000-0000 The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company’s compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Any changes made to your company’s information may require the HUB Program to re-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on behalf state procurement resources that can increase your company’s chances of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below doing business with the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1364314696500 File/Vendor Number: 485009 Approval Date: 24-JAN-2019 Scheduled Expiration Date: 24-JAN-2023 The Texas Comptroller of your proposal Public Accounts (CPA), hereby certifies that LAB INFORMATION TECHNOLOGY INCORPORATED has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate printed 25-JAN-2019, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)(i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business’ application for registration/certification as a HUB, you must attach immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a copy compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of all claimed confidential materials within your proposal ineligibility. Xxxxx Xxxxx-Xxxxxxxx, Statewide HUB Program Manager Statewide Support Services Division Note: In order for State agencies and put institutions of higher education (universities) to be credited for utilizing this COMPLETED form business as a cover sheet HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submissionverify the company’s HUB certification prior to issuing a notice of award by accessing the Internet (https:llmycpa.cpa.state.tx.usltpasscmblsearchlindex.jsp) or by contacting the HUB Program at 000-000-0000 or toll-free in Texas at 0-000-000-0000. (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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Rev. 06/16

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 Lone Star Communications, Inc. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Email Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx ISD Xxx Xxxxxxx, Dir. Of Technology xxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University Mineral Xxxxx ISD Xxxxx Xxxxxxxx, Dir of America Betsy Ramsey xxxxxx@xxx.xxx Facilities xxxxxxxxx@xxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Frisco ISD Xxxx Xxxxxx, Dir. Technology xxxxxxx@xxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 TIPS RFP # 210303 210101 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Lone Star Communications, Inc. Name of company Xxxxx X. Xxxxxx Xxxxxxx Xxxxxxxxx - Director of Service Printed Name and Title of authorized company officer declaring below the confidential status of material 1414 Post and Paddock,Ste. 000, Xxxxx Xxxxxxx, Xxxxx, 00000 972-336-0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 2 REFERENCES Allied Plastics Co Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Winston Salem/Forsyth County Schools Xxx Xxxx xxxxx@xxxxx.x00.xx.xx 336-703-4255 Richland School District/Rice Creek Elem Xxxxxx Brothers Xxxxxxxxx xxxxxxxx@xxxxxxxx0.xxx 803-699-2900 Gwinnett County Public Schools Xxxxx Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxx_xxxxxx@xxxxxxxx.x00.xx.xx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity200804 Allied Plastics Co Inc Supplier Response Event Information Number: Internal DocuSign Envelope ID200804 Title: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Medical Equipment, Supplies and Services LLC on behalf of itself Type: Request for Proposal Issue Date: 8/6/2020 Deadline: 9/18/2020 03:00 PM (CT) Notes: This solicitation is seeking providers for medical equipment, supplies and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS services (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(sincluding all Personal Protective Equipment (PPE), you must attach a copy of all claimed confidential sanitizers, xxxxxxx, disinfectants, pathogen prevention / removal / remediation services, barriers, or similar goods/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 that relate to the Office prevention or remediation of Texas Attorney General is required pathogens including, but not limited to, those that spread the virus known as COVID-19. Any reference to make “medical equipment, “medical supplies,” or “medical services” herein, includes the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section belowforgoing non-exhaustive list).

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS TlPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. Please verify your references are current and valid, as they are a SIGNIFICANT required evaluation component of the PART 2 evaluation process, and the evaluation cannot be completed without responses from these references when we contact them. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxx ISD Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxx, Superintendent xxxxxx.xxxx@xxxxxxxx.xxx (000-) 000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx New Boston ISD Skip Xxxxxxxx, Maintenance Supervisor xxxxxxxxx@xxxxxxxxx.xxx (000-) 000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Clarksville ISD Xxxxxx Xxxxxxx, Maintenance Supervisor xxxxxxxx@xxxxxxxxxxxxxx.xxx (000) 000-92DE0000 Red Water ISD Xxxxx Xxxxx, Superintendent xxxxxx@xxxxxxxxxxx.xxx (000) 000-CB91E71E0AF6 0000 TIPS RFP # 210303 200701 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: M&T Mitigation and Restoration, LLC dba SERVPRO of Texarkana Name of company Xxxxxxx X. Xxxxxxx (General Manager) Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxxxxx Xx. Xxxx Xxxxxxx XX 00000 (903)832-4400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: 7/13/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 2 REFERENCES Claridge Products and Equipment, Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within servi the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Valley ISD Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212Katy ISD Xxxxxxx Xxxxx xxxxxxxxxxxx@xxxxxxx.xxx 281-875237-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 6900 Xxxxxxxxxx ISD Xxxxx Xxxxxx xxxxx.xxxxxx@xxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3• 10 YEAR • A N G S U R F A A S S W R I T I When properly installed in a suitable environment and under normal intended usage, care and maintenance, including the use of proper markers, erasers and cleaners; Claridge glass markerboard writing surfaces are guaranteed for ten years. R A U G C E G L E E T N This warranty excludes, among other things, any and all damages resulting from earth movements or any other natural and/or man-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC made disasters. We do not recommend the use of abrasive cleaners on behalf the glass surface as they may dull or “pit” the surface of itself and affiliates Name the glass. Guarantee covers replacement of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and defective surfaces but does 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 damage 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 edge of the enclosed materialsglass board, cost of removal or reinstallation. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL• LIFETIME • A I T I N G S U R F A C E P O R C E L A I N W R Under normal usage and maintenance, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIALand when installed in accordance with manufacturer's instructions and recommendations, Claridge porcelain enamel steel markerboard and chalkboard writing surfaces are guaranteed for the Life of the Building. 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 R A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.U G E E T N

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. REFERENCES Three H Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx NIH Denniese Wright xxxxxxx@xxxx.xxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University City of America Betsy Ramsey xxxxxx@xxx.xxx Lower Xxxxxxx Xxxxxx xxxxxx@xxxxxxxxxxxxx.xxx 000-000-0000 #SensitivityUS District Court Xxxxx Xxxxxxxxxxx xxxxx_xxxxxxxxxxx@xxxx.xxxxxxxx.xxx 212-805-0500 LIMITED LIFETIME WARRANTY Three H Furniture Systems Limited (‘Three H’) provides a limited lifetime warranty on all products sold to the original purchaser by a Three H authorized dealer. Three H warrants that its product will remain functional1 for as long as the original purchaser owns the product. The obligation of Three H under this warranty is to repair or replace with a comparable product or component determined to be defective by Three H at no cost to the original purchaser, FOB purchaser’s destination. 1 Remain Functional refers to the products ability to fulfill its original purpose or function. Updated November 2018 EXCEPTIONS TO THIS WARRANTY MAY INCLUDE: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3WARRANTY CLAIM PROCEDURE • Three H provides a full warranty on our bullnose, wavecrest and prestige wood trim and finish for a period of 3 years after date of delivery. After 3 years, the warranty applies to the wood edge only. General wear and fading of the finish after a 3 year period is not considered a defect. • Three H provides a full warranty on our Workshelf wood legs and finish for a period of 3 years after date of delivery. After 3 years, the warranty applies to the leg only. General wear and fading of the finish after a 3 year period is not considered a defect. • Variation in laminate finish characteristic including color and texture is not considered a defect. • All fabrics including tackboards, panels & cushions are warranted for a period of 5 years after date of delivery. • All lighting products including bulbs, tubes, ballasts and LEDs do not carry a warranty. • All power related products & components carry a 1 year warranty. • All electric height adjustable components carry a 5 year warranty. • Product & components which are not directly manufactured by Three H. In this case warranty is determined by what is offered from the manufacturer of the defective product or component. • Product that is not sold by a Three H authorized dealer. • Product that is not installed & maintained in accordance with Three H’s guidelines & instructions. • Product that is damaged by the end user due to misuse, accident, abuse, negligence or shipping. • Incidental wear to product including scratches & dents occurring from everyday use. • Product that has been altered or re-92DEconfigured in any way prior to written approval by Three H. • Product which has received excessive exposure to U.V rays, heat, water or harsh chemicals. • Product that has been damaged due to re-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf installation without the assistance of itself an authorized Three H dealer or installer. • Product that has been subject to conditions that exceed the BIFMA/ANSI standards applicable to that product. • Product that is being used for rental purposes. • Customers own material (COM) provided at the request of the user is not covered by the Three H warranty. • All warranty claims must be authorized by Three H prior to approval. • Claims can be directed to Three H’s warranty & replacement officer by contacting 1.800.767.5374 or by emailing xxxxxx@xxxxx-x.xxx. • Claims must include original order number, as well as a description of return request. • Three H reserves the right to investigate any of the above mentioned exceptions, request digital photos of the product in question, as well as proof of original ownership prior to warranty approval. THIS WARRANTY LIABILITY IS LIMITED TO THE REPLACEMENT OF PRODUCT. THREE H WILL NOT BE HELD LIABLE FOR ANY PERSONAL OR PROPERTY DAMAGE AS WELL AS ANY CONSEQUENTIAL OR INCIDENTAL DAMAGE. THIS WARRANTY EFFECTIVE NOVEMBER 2018 SUPERSEDES ALL PREVIOUS WARRANTIES OFFERED BY THREE H FURNITURE SYSTEMS LIMITED. CARE & MAINTENANCE • Three H laminates can be easily cleaned with warm water and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 mild soaps. Do not use cleansers which contain abrasives, acids or alkalis. Three H Furniture Systems Limited 000000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Xxxx P.O. Box 1029 New Liskeard ON Canada P0J1P0 T. 800.767.5374 F. 888.484.5786 xxx.xxxxx-x.xxx Three H Company Description

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Bansar Technologies Inc Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within wit the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Texas Health and Human Services Commission Xxxxxxx Xxxx xxxxxxx.xxxx@xxxx.xxxxx.xx.xx xxxxx.xxxxxxxx@xxx.xxxxx.xxx 000-000-0000 Bank Street College Texas Comptroller of Public Accounts Xxxxx Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #SensitivityTexas department of Transportation Xxxx Xxxxxxxxx xxxxxx-x@xxxxx.xxx 000-000-0000 Office of Attorney General Xxxxx xxxxxx xxxxx.xxxxxx@xxx.xxxxx.xxx 000-000-0000 texas Department of Motor Vehicles Xxxx Xxxx Xxxx.Xxxx@xxxxx.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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 Bansar Technologies Inc (Name of Corporation) Xxxxxx Xxxxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxxx Xxxxxxxxx (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) 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 8/21/2020 DATE TIPS RFP # 210303 200703 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t 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. OPTION 1: Bansar Technologies Inc Name of company Xxxxxxxx Xxxxxxxxx, President Printed Name and Title of authorized company officer declaring below the confidential status of material 78750 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your This form you will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, this W-9 proposal r may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish aw to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an w attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Birdville ISD Xxxxxxx Xxxxxx Xxxxxxx.xxxxxx@xxxxxxxxxxxxxxxx.xxx 000-000-0000 Arlington ISD Xxxx Xxxxxx Xxxxxxx00@xxxx.xxx 000-000-0000 Eagle Mountain- Saginaw ISD Xxxxxxx Xxxxxx xxxxxxx@xxx-xxx.xxx 817-232-0880 EX Mansfield ISD Xxxxx Xxxxxxx xxxxxxx000@xxxxxxxxx.xxx 000-000-0000 You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx T 2977 The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company’s compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Any changes made to your company’s information may require the HUB Program to re-evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on state procurement resources that can increase your company’s chances of doing business with the state. Thank you for your participation in the HUB Program! If you have any questions, you may contact a HUB Program representative at 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212or toll-875free in Texas at 0-4500 Catholic University 000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1752687147400 File/Vendor Number: 057565 Approval Date: 14-DEC-2018 Scheduled Expiration Date: 14-DEC-2022 The Texas Comptroller of America Betsy Ramsey xxxxxx@xxx.xxx Public Accounts (CPA), hereby certifies that COMPLETE SUPPLY, INC. has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be recognized as a HUB. This certificate printed 14-DEC-2018, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information (i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business’ application for registration/certification as a HUB, you must immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of ineligibility. Xxxxx Xxxxx-Xxxxxxxx, Statewide HUB Program Manager Statewide Support Services Division Note: In order for State agencies and institutions of higher education (universities) to be credited for utilizing this business as a HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to verify the company’s HUB certification prior to issuing a notice of award by accessing the Internet (https:llmycpa.cpa.state.tx.usltpasscmblsearchlindex.jsp) or by contacting the HUB Program at 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3or toll-92DEfree in Texas at 0-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf 000-000-0000. Rev. 06/16 The one-stop shop for all your facility needs. Facility Supplies Equipment Batteries 9 Volt AAA AA C D Batteries (Floor Machines) AGM Lithium Ion Wet Cell Brooms Push Brooms Household Warehouse Brushes Hand Brushes Deck Brushes Can Liners Compostable High Density Low Density Recycled Carts Janitorial Food Service Dispensers Cups Laundry Dispensers (cont.) Napkins Odor Control Soaps Tissues Towels Wipers Dusting Dusters & Pans Floor Pads Buffing Burnish Microfiber Scrub Strip Food Service Bowls Cups Food Trays Plates Straws Table Covers Utensils Gloves Latex Leather Nitrile Polypropylene Gloves (cont.) Rubber Safety Cut Resistant Vinyl Handles Brushes Brooms Dust Mops Microfibers Telescopings Wet Mops Mats Indoor Outdoor Special (Custom) Urinal Mops Dust Mops Finish Mops Microfiber Mops Wet Mops Mop Equipment Buckets & Pails Paper Facial Napkins Newsprint Tissue Towels Seat Covers Wipers Personal Care Sanitary Napkins Sanitary Liners Tampons Rags Colored White Knit Safety Equipment Glasses Supplies Scrapers Razor Blades Long Handle Scouring Hand Pads Sprayers Bottles & Sprayers Pumps Electrostatic Squeegee Floor Window Tapes Urinal Blocks Mats Warehouse Supplies Waste Receptacles Trash Cans Trash Can Dollies New, Used & Leased Auto Srubbers Blowers Burnishers Carpet Extractors Carpet Vacuums Floor Buffers Lithium Ion Battery Equipment No-Touch Restroom Cleaning Sweepers Wet Dry Vacs Equipment Lines Advance Xxxxxx ICE IPC Eagle Kaivac Motor Scrubber NSS ProTeam Square Scrub Viper Repairs & Maintenance Contracts We carry a full line of itself industrial and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 janitorial chemicals. If you consider any portion can’t find what you’re looking for, call us. Adhesives Air Fresheners Automotive Bathroom Cleaners Carpet Care Degreasers Dishwash Disinfectants $PQZSJHIU ª 2019 $PNQMFUF 4VQQMZ, *OD. ] )6# $XXXXXXXX 0XXXX-0XXXX 0000 0XXX $SPTCZ 3PBE, 4VJUF 144, $BSSPMMUPO, 59 75006 ] 214-231-3631 ] D-TVQQMZ.DPN Drain Openers Envirox Floor Buffing Floor Finish Floor Seal Floor Seal Epoxy Floor Stripper Floor Sweep Food Service General Purpose Glass Cleaner Graffiti Remover Hand Care (Bar Soap) Hand Care (Powder) Hand Care (Industrial) Hand Care (Foam) Hand Care (Restrooms) Herbicide HVAC Ice Melt Industrial Insecticides Laundry Products Lubricants Microorganisms Odor Control Oven Cleaners Penetrants Polish Private Label RTV Silicones Rubber Care Rust Coverters Safety Solvents Sealers Sewer Solvents Silicone Spot & Stain Remover Stone Care Stainless Steel Cleaner Window Tint Wood & Gym Floors 3M: Cleaning Supplies and floor maintenance Xxxxxxx: Floor pads, cleaning accessories, and floor matting Brulin: Specialty manufacture for commercial, healthcare, and foodservice Buckeye: Hygiene compliance, cleaning chemicals, and floor maintenance Xxxxxxx: Commercial, healthcare, and foodservice liquids and aerosols Cascade: Toilet tissue, roll towels, and commercial paper options Dart-Solo: Manufacture of your proposal to be confidential information plastic, paper, and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)foam cups, you must attach a copy bowls, and food containers Fresh Products: Air fresheners, odor control, deodorizers, and urinal screens Gojo: Purrell and Gojo brand skin care and hygiene products Georgia-Pacific: Leader in tissue, pulp, packaging, and ICE: Manufacture of all claimed confidential materials within your proposal scrubbers, sweepers, and put this COMPLETED form as a cover sheet to said materials then scanfloor machines Inteplast: lnstitutional can liners, name “CONFIDENTIAL” stretch films, 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 proposalXXXX film Xxxxxxx-Xxxxxx: hrobgct Line Curb Xxxx, if anyTide, you deem confidential in the event the receives a Public Information Request.) ESC8 Comet, Charmin, Bounty, Spic- N-Span, and TIPS will follow procedures institutional cleaners Reckitt: Lysol, Easy- Off, Resolve, Mop & Glo, and Brasso products Revolution Bag: Manufacture of controlling statute(s) regarding any claim recycled institutional can liners Rubbermaid: Manufacturer of confidentiality facility, maintenance, food service, and shall not be liable healthcare equipment Tork-SCA: Roll towels, toilet tissue, napkins, dispensers, wipers, and hand care Sunburst: Liquid and solid chemicals for any release laundry, xxxx wash, and house keeping Ajax, Palmolive, laundry detergent, polishes, and Softsoap Continental: Manufacture of information required by law. Upon your claim plastic and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you textile cleaning equipment Xxxxxxxx Xxxxx: Folded towel, facial tissue, roll towels, toilet tissue, wipers, and held by ESC8 dispensers Nilfisk: Advance, Xxxxxx, and TIPS is confidential Viper floor machines Victory: Electrostatic handheld and exempt from public disclosure. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.backpack sprayers

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Fort Worth ISD Xxxx Xxxxx xxxx.xxxxx@xxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University City of America Betsy Ramsey xxxxxx@xxx.xxx Dallas Xxxxx Xxxxx xxxxx.xxxxx@xxxxxxxxxxxxxx.xxx 000-000-0000 #SensitivityPlano ISD Xxxx Xxxxx xxxx.xxxxx@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: Internal DocuSign Envelope IDCommunication Concepts (Name of Corporation) Xxxxxx Xxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that 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 (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available Digitally signed by Xxxx Xxxxxxx DN: 6BB80CBF-52BA-4DF3C=US, X=xxxxxxxxx@xxxxxxxxxx.xxx, Xxxx Xxx n OU=President, CN=Xxxx Xxxxxxx O=Communication Concepts, Reason: I am approving this document Date: 2021.02.24 16:53:28-92DE-CB91E71E0AF6 06'00' ldi SIGNATURE 02/24/21 DATE TIPS RFP # 210303 210101 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Communication Concepts Name of company Xxxxx X. Xxxxxx Xxxx Xxxxxxx President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxx Xxxx TX 76117 817-920-9902 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Harmony Public Schools Xxxxx Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxxx/Purchaser xxxxxx@xxxxxxxxx.xxx (000-) 000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University GARLAND Independent School District Xxx Xxxxx, Assistant Director of America Betsy Ramsey xxxxxx@xxx.xxx IT Operations xxxxxx@xxxxxxxxxx.xxx (000-) 000-0000 #SensitivityEast Whittier City SD Xxxxxxxx Xxxxxxx xxxxxxxx@xxxxx.xxx (000) 000-0000 Limited Warranty and Refund Policy for IPEVO Products IMPORTANT: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3BY USING YOUR (A) VZ-92DEX Wireless, HDMI & USB 8MP Document Camera, (B) VZ-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS R HDMI/USB Dual Mode 8MP Document Camera, (ESC8C) IS GOVERNED BY TEXAS GOVERNMENT CODEV4K Ultra High Definition USB Document Camera, 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(D) DO-CAM HD Ultra Portable 8MP USB Document Camera / Webcam (E) IW2 Wireless Interactive Whiteboard System (Short Pen Version), 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(F) IS-01 Interactive Whiteboard System, name OR (G) IP-1 Interactive Pen for IW2 Interactive Whiteboard System (EACH OF WHICH IS A CONFIDENTIAL” and upload with your proposal submissionPRODUCT”), YOU ARE AGREEING TO BE BOUND BY THE TERMS OF THIS LIMITED WARRANTY AS SET OUT BELOW. (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. OPTION 1: ALL VENDORS MUST COMPLETE ONE DO NOT USE YOUR PRODUCT UNTIL YOU HAVE READ THE TERMS OF THE TWO OPTIONS BELOWWARRANTY. I DO CLAIM parts of my proposal to be confidential and IF YOU 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 AGREE TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OPTION 2: OR I TERMS OF THE WARRANTY, DO NOT CLAIM any of my proposal to be confidential, complete the section below.USE THE PRODUCT AND RETURN IT WITHIN THE RETURN PERIOD STATED IN SECTION 2 OF THIS WARRANTY AND RETURN POLICY. h

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Lynwood Unified School District Xxxxx Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxxxx@xxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Xxxxxx School District Four Xxxxx Xxxx xxxxx@xxxxxx.x00.xx.xx 000-000-0000 #SensitivitySanta Xxx Unified School District (Xxx Xxxxxx Elementary) Xxxxxxx Xxxxxxx xxxxxxx.xxxxxxx@xxxxxxxxxxx.xxx (000) 000-0000 Chino Valley Unified (Allegiance STEAM Academy, Thrive) Xxxxx Xxxxxx xxxxx.xxxxxx@xxxxxxxxx.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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 (Name of Corporation) certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that (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 (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. SIGNATURE if available CORPORATE SEAL DATE TIPS RFP # 210303 210301 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Xxxxxxx Technologies, Inc. (dba Classtime) Name of company Xxxxx X. Xxxxxx Xxxxxxxx Xxxxx, CEO Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 0/0 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xx W Hollywood CA 90069 213-42 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. OPTION 1: 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 03/04/2021 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Crowleys Ridge ESC Xxx Xxxxxx Brothers xxxxxxx@xxxxxx.x00.xx.xx 870.578.5426 Xxxxx School District Xxxx Xxx xxxxx@xxxxx.xxxx.x00.xx.xx 870.458.2323 Bakersfield School District Xxxxx Xxxx xxxxx@xxxxxxxxxxx.x00.xx.xx 417.284.7333 Xxx Xxxxxx ESC Xxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx 000xxx.xxxxxx@xxxxxxxxxxx.xxx 479.885.2265 Ecovasive is the pioneer of the Infection Control Industry, founded 2016 in Perry, Georgia. Ecovasive is paving the way for new, innovative methods for disinfection and protection from infectious germs, bacteria, and viruses, including CoVid-19. We now have a location in Arkansas which serves the entire state plus Southern Missouri. We use Electrostatic Technology to apply EPA registered, environmentally friendly disinfectants and residual surface protectants. Common Disinfectants are effective in destroying contaminants at each individual application but do not provide protection once the chemical dries. Ecovasive uses a Residual Antimicrobial Surface Protectant that inactivates, eliminates, and destroys pathogens. Our Bacteriastatic product continues to work and protect up to 90-000days depending on surface treatment. This application is especially effective in high contact and congregation areas, including buses. Our 90-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload Day Infection Control program involves treating facilities etc. every 90 days with your proposal submission. (You must include all the confidential information in the submitted proposalour Bacteriastatic product. The copy uploaded Electrostatic application ensures maximum coverage and effective treatment. All contact surfaces are treated ensuring every effort has been taken to keep your staff, students and patrons as safe as possible, especially in these changing times. Regular and site-specific disinfecting can be performed by onsite staff using our Bioesque product. Bioesque has the EPA’s highest safety rating for an approved disinfectant that kills germs, bacteria, and viruses including coronaviruses. Over 100 school districts (some districts have as many as 40 campuses) now are in a routine treatment program. They have seen outstanding results, especially during high outbreak seasons, reducing absentee rate and infections among students, faculty, and patrons. As we all know, Budget is to indicate which material in your proposala major concern with most school districts. However, 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 we are seeing most of the enclosed materialsschools are able to use CARES Act funds to pay for an Infection Control Program. IF CLAIMING PARTS OF Ecovasive is also a distributor for our products, as well as Victory Electrostatic Sprayers and accessories. To know more about our services and technologies or obtain more information on these products, please contact us or visit us at w xx.xxxxxxxxxxx.xxx/xxxxxxxx. S anitizing and Disinfecting – Required but is it Enough? Surfaces treated with sanitizers and disinfectants are germ-free for only the brief period of time from when your sanitizer/disinfectant is applied to when it dries. Your surface is NOT protected between Sanitizing and Disinfecting cleaning events! Surface cross-contamination occurs throughout the day and night everywhere through droplets, direct surface contact and airborne transmission. Surface Protection when you sanitize/disinfect 4 times daily: ● Up to 40 minutes of Surface Protection ● Surfaces are protected 2.8% of the time in a 24-hour period ● ARE YOU REALLY PROTECTED? Surface Protection using PreventX 24/7: ● Biofilm cannot exist on a PreventX 24/7 treated surface ● therefore, germs, mold and mildew cannot thrive in between sanitizing and disinfecting events ensuring maximum surface protection. ● Surface cross-contamination, regardless of type, is significantly reduced everywhere PreventX 24/7 is used. ● Surface Protection Using PreventX 24/7 ● Surface Protection 24 hours 7 days a week ● One application protects surface up to 90 days ● Implement our Ecovasive antimicrobial program and M AXIMIZE 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.PROTECTION! Contact Xxx Xxxxxx today 870.736.2060

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e you are awardedALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. 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. DO NOT H REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxxx San Xxxx Xxxxx ISD Xxxx Xxxx xxxx.xxxx@xxxxxxx.xx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx San Xxxxxx CISD Xxxx Xxxxxx xxxxxxxx@xxxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Edcouch-92DEXxxx ISD Xxxxxx Xxxxxxxx xxxxx@xxxxx.xxx 000-CB91E71E0AF6 000-0000 TIPS RFP # 210303 210602 Required Confidential Information Status Form Windstream Services Xxxxx X. Xxxxx Consulting, LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Xxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 00000 Xxxxxxxx Xx Xxx 300 San Antonio TX 78230 210.558.0999 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. OPTION 1: 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: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.. t h e c o m procure m en

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 5 REFERENCES Formative Loop, Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxxxxxx Elementary, MWPISD Xxxx Xxxxxx, Principal xxxxxxx@xxxxxx.xxx00.xxx (000-) 000-0000 Bank Street College Xxxxxxxx Elementary, Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx ISD Xxx Xxxxxxxx, Principal xxxxxxxxx@xxxxxxxxxxx.xxx (000-) 000-0000 #Sensitivityx0000 STEM Academy, Sinton ISD Xxxx Xxxxxxxx, Directory xxxxxxxxx@xxxxxxxxx.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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Formative Loop, Inc. (Name of Corporation) Xxxxxx Xxxxxxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxx Xxxxxxxxxxx (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 Co-92DE-CB91E71E0AF6 Founder (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 4/12/2021 DATE TIPS RFP # 210303 210301 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Formative Loop, Inc. Name of company Xxxxx X. Xxxxxx Xxxxxxxxxxx, Co-Founder Printed Name and Title of authorized company officer declaring below the confidential status of material 8809 Silverarrow CIr. Austin TX 00000 (000) 000-0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t 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. OPTION 1: 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: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Cleveland Clinic, Cleveland, OH Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxxxx, Senior Director, Laundry & Linen xxxxxxx@xxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic Ohio State University of America Betsy Ramsey xxxxxx@xxx.xxx Medical Center, Columbus, OH Xxxxxx Xxxxxx, Facility Planning Xxxxxx.xxxxxx@xxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 UPMC Pinnacle York Acute and Ambulatory Care Bldg, York, PA Xxxx Xxxxxxx Xxxxxxx Construction xxxxxxxx@xxxxxxx.xxx TIPS RFP # 210303 200604 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. Standard Textile Co., Inc. Name of company Xxxxxx Xxxxxxx, VP of Business Strategy and Operations, Interiors Group Printed Name and Title of authorized company officer declaring below the confidential status of material 0 Xxxxxxxxxx Xxxxx Xxxxxxxxxx XX 00000 800-999-0400 Address City State ZIP Phone 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 1 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 OPTION 2: July 17, 2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 REFERENCES KMM TECHNOLOGIES, INC. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxx Xxxxx Xxxx.Xxxxx@Xxxxxx.xxx (000-) 000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx SAS Institute Xxx Xxxxxxx Xxx.Xxxxxxx@XXX.xxx (000-) 000-0000 #SensitivityXxxxxx Xxx Xxxxx Xxxxx xxxxx_xxxxx@xxxxxxxxx.xxx (000) 000-0000 CareFirst/FEPOC Xxxxxxxxx Xxxxxxx Xxxxxxxxx.Xxxxxxx@xxxxx.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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC KMM Technologies, Inc. (Name of Corporation) Xxxx X Xxxxxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxx X Xxxxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of itself the corporation offerer is the authorized person that is acting as COO & EVP (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and affiliates Name in behalf of company Xxxxx X. Xxxxxx Printed Name said corporation by authority of its governing body, and Title is within the scope of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone its corporate powers. NOT APPLICABLE CORPORATE SEAL if available SIGNATURE 08/21/2020 DATE ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS SECTION. DO NOT April 25, 2012 U.S. SMALL BUSINESS ADMINISTRATION WASHINGTON, D.C. 20416 Xxxx Xxxxxxxxxx, President KMM Technologies, Inc. 0000 Xxxxxxx Xxxxx, Suite 101 Frederick, MD 21702 Dear Xx. Xxxxxxxxxx: Congratulations! Your firm has been certified as a Participant in the U.S. Small Business Administration's (ESC8SBA) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion 8(a) Business Development Program. Your nine (9) year program term begins on the date 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)this letter. During participation in the 8(a) Business Development Program, you must attach will receive business development assistance from an assigned Business Development Specialist in the Maryland District Office located at Xxxx Xxxxxxxx Xxxxxxxx, 0xx Xxxxx, 00 Xxxxx Xxxxxx Xxxxxx, Baltimore, MD 21201. The phone number is (000) 000-0000. Your firm will become eligible to receive 8(a) Business Development contracts after you submit a business plan using SBA Form 1010C and receive SBA's approval of the plan. We are sending a copy of all claimed confidential materials within your proposal this certification letter to the SBA Maryland District Office. That office will send you the business plan form. SBA requires that the 8(a) participant s President or Chief Executive Officer sign a Participation Agreement to show that he or she understands the conditions of 8(a) program participation. Please read the Agreement carefully, sign and put this COMPLETED form as a cover sheet date one copy and return it to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information SBA Maryland District Office at the address shown in the submitted proposalthird paragraph above. The second copy uploaded is for your records. Even though your firm s approved North American Industry Classification System (NAICS) Code is 541511, your firm may be awarded contracts under other NAICS Codes, as long as your firm is qualified to indicate which material perform the required service or task. In this regard, please note that contracts awarded under 8(a) Business Development Program authority generally result from the self-marketing efforts of participating firms. While your firm s acceptance into the 8(a) Business Development program is not a guarantee of contract support, SBA will make every effort to assist you 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWmarketing efforts. I DO CLAIM parts of my proposal to be confidential welcome you as an 8(a) Business Development Program participant 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section belowwish you every possible success.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES TECHNOLOGY ASSETS LLC dba GLOBAL ASSET Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within service the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Town of Little Elm Xxxxx Westenhoeffer xxxxxxxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Grand Prairie ISD Xxxxx Xxxxxxx xxxxxxxxxxx.xxxxxxx@xxxxx.xxx 000-000-0000 #SensitivityCommerce ISD Xx Xxxxx xx.xxxxx@xxxxxxxxxxx.xxx 000-000-0000 Xxxxxxx ISD Xxxxx Xxxx xxxxx@xxxx.xxx 000-000-0000 Eagle Mountain-Saginaw ISD Xxxx Xxxxxxx xxxxxxxx@xxx-xxx.xxx 000-000-0000 X 0000 The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company’s compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Any changes made to your company’s information may require the HUB Program to re-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on behalf state procurement resources that can increase your company’s chances of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below doing business with the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1272802338800 File/Vendor Number: 465973 Approval Date: 14-JUN-2019 Scheduled Expiration Date: 14-JUN-2023 The Texas Comptroller of your proposal Public Accounts (CPA), hereby certifies that TECHNOLOGY ASSETS, LLC DBA GLOBAL has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate printed 14-JUN-2019, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)(i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business’ application for registration/certification as a HUB, you must attach immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a copy compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of all claimed confidential materials within your proposal ineligibility. Xxxxx Xxxxx-Xxxxxxxx, Statewide HUB Program Manager Statewide Support Services Division Note: In order for State agencies and put institutions of higher education (universities) to be credited for utilizing this COMPLETED form business as a cover sheet HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submissionverify the company’s HUB certification prior to issuing a notice of award by accessing the Internet (https:llmycpa.cpa.state.tx.usltpasscmblsearchlindex.jsp) or by contacting the HUB Program at 000-000-0000 or toll-free in Texas at 0-000-000-0000. (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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Rev. 06/16 3/10/2015 8/3/2016

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of t the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within wh the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. R You may provide more than three (3) references. refe Entity Name Contact Person VALID EMAIL IS REQUIRED Email Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Brazosport Xxxxx Xxxxxxxx xxxxx.xxxxxxxx@xxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Wichita Falls ISD Xxxxx Xxxxxx xxxxxxx@xxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3City View Xxxx St.Xxxxx xxxxxxxx@xxxxxxxx-xxx.xxx 000-92DE000-CB91E71E0AF6 0000 x000 TIPS RFP # 210303 210401 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Pc Parts Plus DBA Xxxxxxxxxxxxxxx.xxx Name of company Xxxxx X. Xxxxxx Xxxxxxx Xxxx Sales Manager Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxxxxx Xxxxx St.Xxxx MN 55110 651-998-7003 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. OPTION 1: 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: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Bansar Technologies Inc Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within wit the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Texas Health and Human Services Commission Xxxxxxx Xxxx xxxxxxx.xxxx@xxxx.xxxxx.xx.xx xxxxx.xxxxxxxx@xxx.xxxxx.xxx 000-000-0000 Bank Street College Texas Comptroller of Public Accounts Xxxxx Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #SensitivityTexas department of Transportation Rama Kondadasu xxxxxx-x@xxxxx.xxx 512-554-9410 Office of Attorney General Xxxxx xxxxxx xxxxx.xxxxxx@xxx.xxxxx.xxx 000-000-0000 texas Department of Motor Vehicles Xxxx Xxxx Xxxx.Xxxx@xxxxx.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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 Bansar Technologies Inc (Name of Corporation) Xxxxxx Xxxxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxxx Xxxxxxxxx (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) 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 8/21/2020 DATE TIPS RFP # 210303 200703 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: Bansar Technologies Inc Name of company Xxxxxxxx Xxxxxxxxx, President Printed Name and Title of authorized company officer declaring below the confidential status of material 78750 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Fort Worth ISD Xxxx Xxxxx xxxx.xxxxx@xxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University City of America Betsy Ramsey xxxxxx@xxx.xxx Dallas Xxxxx Xxxxx xxxxx.xxxxx@xxxxxxxxxxxxxx.xxx 000-000-0000 #SensitivityPlano ISD Xxxx Xxxxx xxxx.xxxxx@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: Internal DocuSign Envelope IDCommunication Concepts (Name of Corporation) Xxxxxx Xxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that 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 (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available Digitally signed by Xxxx Xxxxxxx DN: 6BB80CBF-52BA-4DF3C=US, X=xxxxxxxxx@xxxxxxxxxx.xxx, Xxxx Xxxxxxx OU=President, CN=Xxxx Xxxxxxx O=Communication Concepts, Reason: I am approving this document Date: 2021.02.24 16:53:28-92DE-CB91E71E0AF6 06'00' SIGNATURE 02/24/21 DATE TIPS RFP # 210303 210101 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Communication Concepts Name of company Xxxxx X. Xxxxxx Xxxx Xxxxxxx President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxx Xxxx TX 76117 817-920-9902 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. OPTION 1: 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: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of t the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx State of Ohio Xxxx Xxxxxxxxxx xxxx.xxxxxxxxxx@xxx.xxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University State of America Betsy Ramsey xxxxxx@xxx.xxx Tennessee Xxxxxx Xxxx xxxxxx.xxxx@xx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3State of North Carolina Xxxxxxx Xxxxxxxxx xxxxxxx.xxxxxxxxx@xxx.xx.xxx 000-92DE000-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf 0000 PPG Industries LIMITED WARRANTY PITTSBURGH PAINTS warrants your satisfaction with the application, appearance and performance properties of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE this product if it is properly applied to a properly prepared surface in accordance with label directions. PITTSBURGH PAINTS MAKES NO OTHER EXPRESS WARRANTIES. IN THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE EVENT THE PRODUCT FAILS 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 C0NFORM TO THIS FORM WARRANTY, PITTSBURGH PAINTS, AS ITS SOLE LIABILITY AND LIST IN LIEU OF ANY DIRECT OR INDIRECT, INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES, WILL, AT YOUR OPTION, FURNISH REPLACEMENT PRODUCT OR REFUND THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES PURCHASE PRICE-LABOR OR COSTS OF PAGES LABOR FOR THE APPLICATION 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.ANY

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from fro you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according accordi to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Pennsylvania Department of Transportation Xxxxxxx Xxxxxx Brothers xxxxxxx@xxxxxxxxxxx.xxx 717-244-4903 New York State – Department of Transportation Xxxxxxx XxXxxxxxx xxxxxxx.xxxxxxxxx@xxx.xx.xxx (000) 000-0000 North Carolina State Department of Transportation Xxxxxxx Xxxxxxx xxxxxxxxx@xxxxx.xxx 919--835-8025 Manatee County Flordia Xxxxx Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxx.xxxxxx@xxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University 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: Globe Trailer Manufacturing Inc. (Name of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 Corporation) Xxxxxxx X Xxxxxxx, Xx. certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that 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 Director of Government & Military Sales (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE NATURE 9/24/2020 DATE TIPS RFP # 210303 200803 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: Globe Trailer Mfg., Inc. Name of company Xxxx Xxxxxxx, Dir. of Govt & Military Sales Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 00xx Xxxxxx Xx X Xxxxxxxxx XX 00000-0000 941-753-2199 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 100 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 OPTION 2: 9/24/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form :orm 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 e 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 :orm which is an attachment to this solicitation. REFERENCES Magazine Subscription Service Agency Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Alief ISD , Houston, TX Xxxxx Xxxxxxxxxx, Admin Xxxxx.xxxxxxxxxx@xxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx X Killeen ISD, Killeen, TX Xxxxxxx Xxxxxxx,PurchDir Xxxxxxx.Xxxxxxx@xxxxxxxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Conroe ISD, Conroe, TX Xxxxxxxx Xxxxxx, Librarian. xxxxxxx@xxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 Bluegrass Community College, GA Xxxxxx Xxxxxxxx,Lib Dir Xxxxxx.xxxxxxxx@xxxxx.xxx 000-000-0000 Plano ISD, Plano, TX Xxxx Xxx,CTSBO, Purch Dir Xxxx.xxx@xxxx.xxx 000-000-0000 TIPS RFP # 210303 200903 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. I DO CLAIM parts :agazine Subscription Service Agency Name of my proposal to be company Xxxxxxx X. Xxxxxx, Owner Printed Name and Title of authorized company officer declaring below the confidential and DO NOT desire to expressly waive a claim status 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.0000 Xxxxx Xxxx 00 Xxx Xxxx Xxxxxx :L 34652 800-368-7922

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx East Mississippi Community College Xxxx Xxxxxxxxxx xxxxxxxxxxx@xxxxxx.xxx 000-000-0000 Bank Street College West Xxxxxxx University Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Xxxxxxxxx Xxxxxxxxxx@xxxxx.xxx 000-000-0000 #SensitivitySchool of Visual Arts Xxxxxxxxxxx Xxxxxxxxx xxxxxxxxxx@xxx.xxx 212-592-2637 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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Xxxx Xxxxx Xxxxxx Furniture LLC (Name of Corporation) certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxx Xxxxx (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 Partner, Managing Member (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 4-92DE16-CB91E71E0AF6 2021 DATE TIPS RFP # 210303 210305 Required Confidential Information Status Form Windstream Services Xxxxxx Furniture LLC on behalf of itself and affiliates Name of company Xxxx Xxxxx X. Xxxxxx - Partner Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 XX Xxx 000 Xxxx Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 XX 00000 847-201-2000 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. OPTION 1: 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 4-16-2021 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES DeltaWare Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone United ISD Xxx Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxx@xxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Xxx Xxxxxx ISD Xxxxxx Xxxxxxx xxxxxx.xxxxxxx@xxxxxx.xxx 000-000-0000 #Sensitivity(000) 000-0000 CPS Energy Xxxx Xxxx xxxxxx@xxxxxxxxx.xxx North Arkansas Electric Co-op Xxxxxxx Xxxxxx xxxxxxx@xxxxx.xxx 870-895-3221 SUPPLIER CLEARINGHOUSE CERTIFICATE OF ELIGIBILITY CERTIFICATION EXPIRATION DATE: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below November 8, 2021 The Supplier Clearinghouse for the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 Utility Supplier Diversity Program 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 OPTION 2California Public Utilities Commission hereby certifies that it has audited and verified the eligibility of: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.DeltaWare Inc.

Appears in 1 contract

Samples: tips-usa.com

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of t the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within servic the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers United ISD Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxxxx@xxxx.xxx (000-) 000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Audiovisual technology equipment and installations Canutillo ISD Xxxxxx Xxxxxxxxx xxxxxxxxxx@xxxxxxxxx-xxx.xxx (000-) 000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Audiovisual technology equipment and installations Mission ISD Xxxxxxx Xxxxxx XXXxxx00@xxxxx.xxx (000) 000-92DE0000 Audiovisual technology equipment and installations Harlingen CISD Xxxxxx Xxxxxx Xxxxxx.xxxxxx@xxxxx.xxx 956.430.9540 Audiovisual technology equipment and installations PSJA ISD Xxxxxx Xxxxx Xxxxxx.Xxxxx@xxxxxxx.xx 956-CB91E71E0AF6 354-2000 Audiovisual technology equipment and installations TIPS RFP # 210303 210301 Required Confidential Information Status Form Windstream Services AiSYS Consulting, LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Xxxx Xxxxxxxxx President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 X. Xxxxxxxxx Xxx XxXxxxx XX 00000 956.686.0101 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 April 15, 2021 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.. tting this she t with ou

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 A B C D 1 REFERENCES 3 Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within 4 the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. 6 You may provide more than three (3) references. 8 Entity Name Contact Person VALID EMAIL IS REQUIRED Phone 9 Elgin School District U-46 Xxxxx Xxxxxx Brothers - Senior Buyer xxxxxxxxxxx@x-00.xxx phone: (000) 000-0000 x0000 10 000 Xxxx Xxxxxxx Xxxxxx, Xxxxx, XX Elgin alternate contact: Xxxxxx Xxxxxxx xxxxxxxxxxxxx@x-00.xxx phone: (000) 000-0000 x0000 11 Recurring business relationship since 13 Sharyland Ind School District Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxx, District Librarian xxxxx@xxxxxxxxxxxx.xxx Phone: 000-000-0000 Bank Street 14 0000 Xxxxx Xxxxx Xx, Xxxxxxx, XX 16 College Station Ind Sch Dist 17 0000 Xxxxx Xxxxxx, Xxxxxxx Xxxxxxx, XX 00000 Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Xxxxxxx, Purchasing Specialist xxxxxxxxxxxxxxx@xxxxx.xxx Phone: 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 18 TIPS RFP # 210303 200903 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: Superior Text Name of company Xxxxx Xxxxx , Admin and Marketing Asst. Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxxxx Xxx Xx Xxxxxxxxx XX 00000 866-482-8762 000-000-0000 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: 10-9-2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Pacific Learning Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within 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 Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Arlington ISD Xxxxxxx Xxxxxxx xxxxxxx0@xxxx.xxx 000-000-0000 Bank Street College Birdville ISD Xxxxx Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx xxxxx.xxxxxxxx@xxxxxxxxxxxxxxxx.xxx 000-000-0000 #SensitivityFort Worth ISD Xxxxx Xxxxxxxxxxx xxxxx.xxxxxxxxxxx@xxxxx.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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 Pacific Learning (Name of Corporation) Xxxxx Xxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that 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 RFP/BID Representative and Secretary (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. N/A CORPORATE SEAL if available SIGNATURE DATE April 2, 2021 TIPS RFP # 210303 210301 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Pacific Learning Name of company Xxxxx X. Xxxxxx Xxxxxxx RFP/BID Reperesentative Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxxxxx Xx Xxxxxxx Xx 00000 800-279-0737 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. OPTION 1: 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES TECHNOLOGY ASSETS LLC dba GLOBAL ASSET Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within ser the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Town of Little Elm Xxxxx Westenhoeffer xxxxxxxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Grand Prairie ISD Xxxxx Xxxxxxx xxxxxxxxxxx.xxxxxxx@xxxxx.xxx 000-000-0000 #SensitivityCommerce ISD Xx Xxxxx xx.xxxxx@xxxxxxxxxxx.xxx 000-000-0000 Rockwall ISD Xxxxx Xxxxxx xxxxx.xxxxxx@xxxxxxxxxxx.xxx 000-000-0000 Eagle Mountain-Saginaw ISD Xxxx Xxxxxxx xxxxxxxx@xxx-xxx.xxx 000-000-0000 X 0000 200604 The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company’s compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Any changes made to your company’s information may require the HUB Program to re-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on behalf state procurement resources that can increase your company’s chances of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below doing business with the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1272802338800 File/Vendor Number: 465973 Approval Date: 14-JUN-2019 Scheduled Expiration Date: 14-JUN-2023 The Texas Comptroller of your proposal Public Accounts (CPA), hereby certifies that TECHNOLOGY ASSETS, LLC DBA GLOBAL has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate printed 14-JUN-2019, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)(i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business’ application for registration/certification as a HUB, you must attach immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a copy compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of all claimed confidential materials within your proposal ineligibility. Xxxxx Xxxxx-Xxxxxxxx, Statewide HUB Program Manager Statewide Support Services Division Note: In order for State agencies and put institutions of higher education (universities) to be credited for utilizing this COMPLETED form business as a cover sheet HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submissionverify the company’s HUB certification prior to issuing a notice of award by accessing the Internet (https:llmycpa.cpa.state.tx.usltpasscmblsearchlindex.jsp) or by contacting the HUB Program at 000-000-0000 or toll-free in Texas at 0-000-000-0000. (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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Rev. 06/16 3/10/2015 8/3/2016

Appears in 1 contract

Samples: Tips Vendor Agreement

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Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Birdville Independent School District Xxxxxxxx XxXxxxx xxxxxxxx.xxxxxxx@xxxxxxxxxxxxxxxx.xxx (000-) 000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Fort Bend Independent School District Xxxxxxx Xxxxxx xxxxxxx.xxxxxx@xxxxxxxxxxx.xxx (000-) 000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Lake Xxxxxx Independent School District Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxxxx.xxx (000) 000-92DE0000 Xxxxx Independent School District Xxxx Xxxxxxx xxxx.xxxxxxx@xxxxxxxx.xxx (000) 000-CB91E71E0AF6 0000 TIPS RFP # 210303 210101 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Blackboard Inc. Name of company Xxxx Xxxxx X. Xxxxxx - Deputy General Counsel Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 VA 20190 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. OPTION 1: 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Sarah Sarah Reynolds

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. Please verify your references are current and valid, as they are a SIGNIFICANT required evaluation component of the evaluation process, and the evaluation cannot be completed without responses from these references when we contact them. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx City of Mandeville Xxxxx Xxxxxxx, Dir of Finance xxxxxxxx@xxxxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Foxconn Xxxxxxx Xxxxxxx, Facility Mgr xxxxxxx.xxxxxxx@xxxxxxx.xxx 000-000-0000 #SensitivityKD Powerwashing Xxxxx Xxxxxx, Owner xxxxxxxx@xxxxx.xxx (000) 000-0000 Star Service Inc. RFP 200604 - Pathogen Removal and Remediation Supplies and Services July 17, 2020 Star Service, Inc. 0000 Xxxxx Xxxxxx Xxxxxxx, Xxxxx 00000 A Custom Proposal For: Internal DocuSign Envelope IDSTAR SERVICE’s – Warranty Information REQUEST FOR PROPOSAL FOR: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS Pathogen Removal and Remediation Supplies and Services RFP# 200604 Star Service Inc. RFP # 210303 Required Confidential Information Status Form Windstream 200604 - Pathogen Removal and Remediation Supplies and Services LLC July 17, 2020 QUALITY OF GOODS & SERVICES Star Service has been providing HVAC services for the past 68 years and has grown from a small company to currently employing over 250 employees. We treat our customers as a partner and our employees as family. With this philosophy, the quality of our service is unsurpassed. The HVAC mechanical industry is ever changing, and we must keep our employees trained and knowledgeable on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below all the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 newest systems in the market. If you consider any portion look behind the walls and above the ceiling, today's HVAC system operates nothing like it did 25 years ago. In a time of your proposal energy efficiency, and green designs the use of modulated flows and variable speed drives are becoming the norm. However, many facilities are still operating with the old antiquated equipment and designs that take some special attention to keep it going. Many of these old systems cannot be confidential information abandoned due to budget or planning issues. Star Service has the knowledge, capability, experience and not subject talent to public disclosure pursuant keep this equipment functioning alongside the newest of mechanical designs. Star Service extends all of the manufacturer warranties of the equipment procured to Chapter 552 Texas Gov’t Code or other law(s)its customers and offers a 90 Day warranty on all Workmanship. Star Service stands behind its quality of services and technician's abilities to complete jobs in a timely manner, you must attach a copy of all claimed confidential materials within your proposal safely, and put this COMPLETED form as a cover sheet with the utmost integrity to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information always do what is 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 best interest of the enclosed materialscustomer! THE TECHNOLOGY 2i The CASPR units substantially reduces odors and microbial populations in air and on surfaces, utilizing the NC technology. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIALPerfect for indoor pollution control, 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 OPTION 2: OR I DO NOT CLAIM any odor reduction, contamination prevention, etc... NC2iconsists of my proposal to be confidentiala special UV light and photocatalyst target, complete the section below.creating an Advanced Oxidation Process containing several friendly

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES for Xxxxxx Industries Inc Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within 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 Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx COFCO Xxxxx Xxxxx xxxxxx@xxxxxxxxxx.xxx 000-000-0000 Bank Street College New Day Office Products & Furnishings Inc Xxxxxxx Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx xxxxxxx_x@xxxxxxxxxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Dept of the Air Force/353 SWTS Craig George xxxxx.xxxxxx.1@xx.xx.xxx 000-92DE000-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf 0000 TERMS AND CONDITIONS OF SALE Credit and Payment Terms Xxxxxx Industries does not allow for automatic open account terms for new customers, current customers whose accounts are in arrears, nor for individuals, or non-commercial purposes. A credit application will be sent to each new customer. New customers are encouraged to begin establishing a credit rating with Xxxxxx Industries prior to placing an order. Our customers are responsible to provide the necessary current and accurate information. Orders are 50% due upon receipt and 50% net 30 if approved. Xxxxxx Industries will apply a 1-1/2% per month service charge to all past due accounts. Accounts that are 90 days past due will be subject to collection proceedings without any additional notice. If legal action is necessary to settle collection proceedings, the purchaser agrees to pay Xxxxxx’ incurred legal representation fees and/or court costs. Orders will not be processed for past due accounts until the amount due, including any service charges, is paid in full. Orders will not be scheduled for production until the deposit is received. A bank letter of itself credit may be required for any order over $50,000 net. Prices Our prices are list; freight prepaid, F.O.B. Maple Grove, Minnesota, and affiliates Name are subject to change without notice. Quoted prices must be accepted within 30 days or re-quoted for date and approval. Freight is prepaid and allowed for normal ground transportation within the 48 contiguous states, must ship to dock location. Air freight, will calls, and special delivery will be quoted and invoiced separately. Prices do not include installation, storage, or sales tax. Packaging Xxxxxx Industries’ pricing includes packing for North American shipment. Only environmentally safe packing materials are used. Large furniture pieces will be packed with wood reinforcements for added protection. For special packaging, crating or overseas shipment, please contact Xxxxxx Industries for a quote. Delivery Xxxxxx Industries will select the method of shipment, carrier, and routing. Carrier selection is solicited to provide the best service to each customer in their location. All shipments are sent prepaid, FOB Maple Grove, Minnesota. Xxxxxx Industries’ liability ends when the carrier issues a receipt to Xxxxxx Industries. This is acknowledgement by the transportation company Xxxxx X. Xxxxxx Printed Name that the shipment has been received by the freight company in good condition and Title title of authorized company officer declaring below the confidential goods and risk of loss transfers to the buyer. The order shall be considered complete. Prepaid freight does not change the F.O.B. status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information the product 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 risks involved 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 Invoices relevant 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section belowpartial shipments are payable as they fall due.

Appears in 1 contract

Samples: Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 2 REFERENCES Claridge Products and Equipment, Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within servi the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Valley ISD Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Xxxx ISD Xxxxxxx Xxxxx xxxxxxxxxxxx@xxxxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Xxxxxxxxxx ISD Xxxxx Xxxxxx xxxxx.xxxxxx@xxxx.xxx 000-92DE000-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC 0000 • 10 YEAR • A N G S U R F A A S S W R I T I When properly installed in a suitable environment and under normal intended usage, care and maintenance, including the use of proper markers, erasers and cleaners; Claridge glass markerboard writing surfaces are guaranteed for ten years. R A U G C E G L E E T N This warranty excludes, among other things, any and all damages resulting from earth movements or any other natural and/or man-made disasters. We do not recommend the use of abrasive cleaners on behalf the glass surface as they may dull or “pit” the surface of itself and affiliates Name the glass. Guarantee covers replacement of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and defective surfaces but does 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 damage 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 edge of the enclosed materialsglass board, cost of removal or reinstallation. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL• LIFETIME • A I T I N G S U R F A C E P O R C E L A I N W R Under normal usage and maintenance, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIALand when installed in accordance with manufacturer's instructions and recommendations, Claridge porcelain enamel steel markerboard and chalkboard writing surfaces are guaranteed for the Life of the Building. 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 R A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.U G E E T N

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Plano ISD Xxxxxxxx Xxxxxxxx xxxxxxxx.xxxxxxxx@xxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Clear Creek ISD Xxxxxxx Xxxxx xxxxxx@xxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Pasadena ISD Xxxxx Xxxxxxx XXxxxxxx@xxxxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 TIPS RFP # 210303 200604 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: School Outfitters Name of company Xxxxxxxx Xxxxxx - Sales Manager Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxx. Xxxxxxxxxx XX 00000 800-260-2776 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: 7-15-2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of t the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Houston Community College Xxxxxxxx Xxxxxxx xxxxxxxx.xxxxxxx@xxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Adecco Xxxxx Xxxxxx Xxxxx.xxxxxx@xxxxxxxx.xxx 713.961.7551 Xxxxxx Inc Xxxxx Xxxxxx xxxxx@xxxxxxxxx.xxx 000-000-0000 #SensitivityCERTIFICATION 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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC Not applicable (Name of Corporation) Not applicable certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Not applicable (Name of person who completed proposal document) who signed the foregoing proposal on behalf of itself and affiliates Name the corporation offerer is the authorized person that is acting as Not applicable (Title/Position of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below person signing proposal/offer document within the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8corporation) 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 materialssaid 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. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Not applicable CORPORATE SEAL if available SIG ATURE NATURE 8/20/2020

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES TECHNOLOGY ASSETS LLC dba GLOBAL ASSET Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Town of Little Elm Xxxxx Westenhoeffer xxxxxxxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Grand Prairie ISD Xxxxx Xxxxxxx xxxxxxxxxxx.xxxxxxx@xxxxx.xxx 000-000-0000 #SensitivityCommerce ISD Xx Xxxxx xx.xxxxx@xxxxxxxxxxx.xxx 000-000-0000 Rockwall ISD Xxxxx Xxxxxx xxxxx.xxxxxx@xxxxxxxxxxx.xxx 000-000-0000 Eagle Mountain-Saginaw ISD Xxxx Xxxxxxx xxxxxxxx@xxx-xxx.xxx 000-000-0000 X 0000 The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company’s compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Any changes made to your company’s information may require the HUB Program to re-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on behalf state procurement resources that can increase your company’s chances of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below doing business with the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1272802338800 File/Vendor Number: 465973 Approval Date: 14-JUN-2019 Scheduled Expiration Date: 14-JUN-2023 The Texas Comptroller of your proposal Public Accounts (CPA), hereby certifies that TECHNOLOGY ASSETS, LLC DBA GLOBAL has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate printed 14-JUN-2019, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)(i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business’ application for registration/certification as a HUB, you must attach immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a copy compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of all claimed confidential materials within your proposal ineligibility. Xxxxx Xxxxx-Xxxxxxxx, Statewide HUB Program Manager Statewide Support Services Division Note: In order for State agencies and put institutions of higher education (universities) to be credited for utilizing this COMPLETED form business as a cover sheet HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. verify the company’s HUB certification prior to issuing a notice of award by accessing the Internet (You must include all https:llmycpa.cpa.state.tx.usltpasscmblsearchlindex.jsp) or by contacting the confidential information HUB Program at 000-000-0000 or toll-free 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 RequestTexas at 0-000-000-0000.) 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Square Technology Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Beckville ISD Xxxx Xxxxxxx xxxxxxxx@xxxxxxxxxxxx.xxx xxxxxx@xxxxxxxxxxxxxxxxxx.xxx xxxxxxx@xxxxxxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University City of America Betsy Ramsey xxxxxx@xxx.xxx Greenwood Mississippi Xxxxx Xxxxxx 000-000-0000 #SensitivityFlatwater Solutions Xxxx Xxxxxx 000-000-0000 LINE CARD Education, Government, Business Xxxxx Xxxxxxx, Account Manager 0000 Xxxxxx, Xx, Xxxxx 000X Xxxxxxxxxx, Xxxxx 00000 Office: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3469-92DE248-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company 7296 xxxxx.xxxxxxx@xxxxxx-xxxxxxxxxx.xxx xxx.xxxxxx-xxxxxxxxxx.xxx Desktops Lenovo Hewlett Packard Super Micro ASUS Dell Acer CyberPowerPC Elo Touch Solutions Laptops Lenovo Dell sonic onic Hewlett Packard Pana ASUS Acer Projectors Sony Epson Maxell ViewSonic Optoma BenQ InFocus Casio Panasonic Vivitek Printers Lexmark Zebra Technologies Hewlett Packard Canon Xerox OKI Epson Panasonic Wasp Barcode Office Machines Hewlett Packard Canon Casio Scanners Zebra Technologies Fujitsu Canon Kodak Epson Wasp Barcode Visioneer Adesso Panasonic Plustek Xerox Hard Drives & Storage Veritas Hewlett Packard Seagate Western Digital Samsung Kingston Buffalo Axiom Kanguru QNAP Tape Backup Lenovo Acronis ioSafe Quantum Hitachi Global Hewlett Packard Software & Licensing Adobe Cisco Systems Corel Kaspersky Microsoft Norton Sonicwall Symantec Veeam Flash Drives Transcend Centon Kingston SanDisk ADATA Lexar PNY Corsair Edge Memory Memory Kingston Edge Memory Hewlett Packard Patriot Memory Dataram Samsung SK Hynix CORSAIR Transcend PNY Networking Cisco Hewlett Packard Black Box NETGEAR D-Link Zyxel TP-Link Linksys Fortinet Ubiquiti TRENDnet Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Lite Juniper Networks Tenda IOGEAR SonicWall Keyboards & Mice Logitech Microsoft Kensington Adesso Components & Accessories ASUS MSI Intel EVGA XFX C2G PNY AMD SIIG VisionTek StarTech GIGABYTE Xxxxx Lite Zotac Matrox Graphics IOGEAR Cables Panduit C2G Belkin Xxxxx Lite XxxxXxxx.xxx Black Box AddOn Networks Cisco QVS Monoprice Xxxxxxxxx Electric 4XEM KVM Pelco Black Box XXXX Xxxxx Lite Bosch XxxxXxxx.xxx IOGEAR Rose Electronics Belkin Communications Uniden Whistler 3M Audio & Video Sony Xxxx Califone Kensington Ergoguys ViewSonic XXXX Audio Jabra Logitech Chief 4XEM Televisions Samsung VIZIO LG Electronics Peerless Industries Premier Mounts Chief Video Surveillance Hikvision Axis Communications Bosch Vivotek Lorex Panasonic QNAP Sony Q-See D-Link TRENDnet Digital Cameras & Camcorders Canon Sony Atlona YI Technology

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers General Services Administration Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxxx.xxxxxx@xxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University Department of America Betsy Ramsey xxxxxx@xxx.xxx State - INL Santo Xxxxxxx Xxxxxx Xxxxx XxxxxXX@xxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Chemonics International Xxxxxx Xxxxxxx XXxxxxxx@xxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 General Services Administration Xxxxx X. Duson xxxxx.xxxxx@xxx.xxx 000-000-0000 US Media Global Xxxxx X. Xxxxxxx xxxxxxxx@xxxxx.xxx 000- 000-0000 NOAA Federal Xxxxxx Xxxxxxx xxxxxx.x.xxxxxxx@xxxx.xxx 000-000-0000 TIPS RFP # 210303 210403 E-Logic, Inc. Name of company Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Xxxxxxx Xxxxxxx - Business Analyst Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxxxxxxxxx Xxx Xx Xxxxx 0000 Xxxxxxxxxx XX 00000 202-499-7837 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your This you form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, propo this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e you are awarded. event that y If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which Cla is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Corpus Christi ISD Xxxxx Xxxxx, Purchasing xxxxx.xxxxx@xxxxx.xx (000-) 000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Dallas ISD Xxxxxxx Xxxxxxxxx, Buyer xxxxxxxxxxxxxx@xxxxxxxxx.xxx (000-) 000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Arlington ISD Xxxxx Xxxxx, Director of Purchasing xxxxxxxxxx@xxxx.xxx (000) 000-92DE0000 Fort Bend ISD Xxxxxxxx Xxxxxx, Senior Buyer Xxxxxxxx.Xxxxxx@xxxxxxxxxxx.xxx (000) 000-CB91E71E0AF6 0000 Lewisville ISD Xxxxx Xxxxx, Director of Purchasing xxxxxx@xxxx.xxx (000) 000-0000 TIPS RFP # 210303 200805 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: Nasco Education LLC Name of company Xxxxxxxx Xx, Contract Sales Manager Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxxxxxxx Xxx Xxxx Xxxxxxxx XX 53538 800-558-9595 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within serv the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxxx Data Services LLC. Xxxxxxxxxxx Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxxxxxxx.xxx (000-) 000-0000 Bank Street College Xxxxxxx Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Inc Xxxxx X. Xxxxx XXX@xxxxxxxxxxxxxxx.xxx (000-) 000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3All Solutions Inc Xxxxx Vadiraju xxxxx@xxxxxxxxxxxxxx.xxx (000) 000-92DE-CB91E71E0AF6 0000 TIPS RFP # 210303 210404 Talentvera Inc., Name of company Rohini Deshabatla Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 00000 XXXXX XXXXXXX 000 XXX 000 Xxxxxxx XX 00000 8327320009 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 5/20/21 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES TECHNOLOGY ASSETS LLC dba GLOBAL ASSET Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Town of Little Elm Xxxxx Xxxxxxxxxxxxx xxxxxxxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Grand Prairie ISD Xxxxx Xxxxxxx xxxxxxxxxxx.xxxxxxx@xxxxx.xxx 000-000-0000 #SensitivityCommerce ISD Xx Xxxxx xx.xxxxx@xxxxxxxxxxx.xxx 000-000-0000 Rockwall ISD Xxxxx Xxxxxx xxxxx.xxxxxx@xxxxxxxxxxx.xxx 000-000-0000 Eagle Mountain-Saginaw ISD Xxxx Xxxxxxx xxxxxxxx@xxx-xxx.xxx 000-000-0000 X 0000 The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company's compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Any changes made to your company’s information may require the HUB Program to re-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on behalf state procurement resources that can increase your company's chances of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below doing business with the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1272802338800 File/Vendor Number: 465973 Approval Date: 14-JUN-2019 Scheduled Expiration Date: 14-JUN-2023 The Texas Comptroller of your proposal Public Accounts (CPA), hereby certifies that TECHNOLOGY ASSETS, LLC DBA GLOBAL has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate printed 14-JUN-2019, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)(i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business' application for registration/certification as a HUB, you must attach immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a copy compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of all claimed confidential materials within your proposal ineligibility. Xxxxx Xxxxx-Xxxxxxxx, Statewide HUB Program Manager Statewide Support Services Division Note: In order for State agencies and put institutions of higher education (universities) to be credited for utilizing this COMPLETED form business as a cover sheet HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. verify the company's HUB certification prior to issuing a notice of award by accessing the Internet (You must include all xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp) or by contacting the confidential information HUB Program at 000-000-0000 or toll-free 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 RequestTexas at 0-000-000-0000.) 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. REFERENCES TIPS - RFP # 200904 Audio Visual Equipment, Supplies, and Services References: FORD AUDIO-VIDEO SYSTEMS, LLC Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx City of Xxxxxxxx Xxxx Eder xxxxx@xxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University City of America Betsy Ramsey xxxxxx@xxx.xxx Midlothian Xxxx Xxxxx xxxx.xxxxx@xxxxxxxxxx.xx.xx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Xxxxxxxxx County Xxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 Austin Convention Center Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxxxxxxxxx.xxx 000-000-0000 City of Southlake Xx. Xxxx Xxxxxx xxxxxxx@xx.xxxxxxxxx.xx.xx 000-000-0000 TIPS RFP # 210303 200904 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: 'PSE "VEJP-7JEFP 4ZTUFNT, --$ Name of company %BWJE "MMFO, &.&.5., $IJFG 0QFSBUJOH 0GGJDFS Printed Name and Title of authorized company officer declaring below the confidential status of material 4800 8FTU *-00 'XXXXXXXX 0XXX 0XXXXXXX $JUZ 0, 73128 512-447-1103 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of t the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within 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 Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Region V Purchasing Coop Xxxx Xxxx xxxxxx@xxx0.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Xxxxxx ISD Xxx Xxxxxxx xxxxxxxx@xxxxxxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Region 9 ESC Xxxx Xxxxxxx xxxx.xxxxxxx@xxx0.xxx 000-92DE000-CB91E71E0AF6 0000 TIPS RFP # 210303 210401 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Xxxxx Stationers, Inc Name of company Xxxxx X. Xxxxxx Xxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material XX Xxx 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxxx Xx 00000 800-792-3281 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. OPTION 1: 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: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. REFERENCES Please 9 CWS RFP 200601REFERENCES PIease provide three (3) references, preferably preferabIy from school schooI districts or other governmental entities who have used your services within government the last Iast three years. Additional AdditionaI references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. EMPL You may provide more than three (3) references. Entity Name Contact Person University of OkIahoma Xxxxx BaiIIio ParkIand HospitaI Xxxxx Xxxxxxx ChiIdrens HeaIth System XxxxxX Xxxxxx aI entities who have used your services within OYEES AS A REFERENCE. VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 xxxxXXxx@xx.xxx 000.000.0000 xxxxx.Xxxxxxx@xxxx.xxx 214 590−4721 xxxxx.xxxx@xxxXxxxxx.xxx 214 456−0435 7ƒ10ƒ20 TIPS RFP # 210303 200601 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. Cyber Watch Sytems, LLC Name of company Xxxxx Xxxxxx - Managing Partner Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxx, Xxx 000 Xxxxx XX 00000 888 272-0049 Address City State ZIP Phone 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 INFORMAITON REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OPTION 2: 8-3-20 OR I DO NOT CLAIM claim any of my proposal to be confidential, complete the section belowbelow only.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of t the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Houston Community College Xxxxxxxx Xxxxxxx xxxxxxxx.xxxxxxx@xxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212Adecco Xxxxx Xxxxxx Xxxxx.xxxxxx@xxxxxxxx.xxx 713.961.7551 Xxxxxx Inc Xxxxx Xxxxxx xxxxx@xxxxxxxxx.xxx 281-875240-4500 Catholic University 0066 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: Not applicable (Name of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC Corporation) Not applicable certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Not applicable (Name of person who completed proposal document) who signed the foregoing proposal on behalf of itself and affiliates Name the corporation offerer is the authorized person that is acting as Not applicable (Title/Position of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below person signing proposal/offer document within the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8corporation) 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 materialssaid 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. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Not applicable CORPORATE SEAL if available SIG ATURE NATURE 8/20/2020

Appears in 1 contract

Samples: Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers General Services Administration Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxxx.xxxxxx@xxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University Department of America Betsy Ramsey xxxxxx@xxx.xxx State - INL Santo Xxxxxxx Xxxxxx Xxxxx XxxxxXX@xxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Chemonics International Xxxxxx Xxxxxxx XXxxxxxx@xxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 General Services Administration Xxxxx X. Xxxxx xxxxx.xxxxx@xxx.xxx 000-000-0000 US Media Global Xxxxx X. Xxxxxxx xxxxxxxx@xxxxx.xxx 000- 000-0000 NOAA Federal Xxxxxx Xxxxxxx xxxxxx.x.xxxxxxx@xxxx.xxx 000-000-0000 TIPS RFP # 210303 210403 E-Logic, Inc. Name of company Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Xxxxxxx Xxxxxxx - Business Analyst Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxxxxxxxxx Xxx Xx Xxxxx 0000 Xxxxxxxxxx DC 20036 202-499-7837 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. OPTION 1: 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: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. REFERENCES Please provide three 5 ARLINGTON INDEPENDENT SCHOOL DISTRICT 0000 XXXXXXX XXXX XXXXXXXXX, XX 00000 Dr. Xxxxxxxxxxx Xxxxxxxx, Director xxxxxx00x@xxxx.xxx (3000) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University DALLAS INDEPENDENT SCHOOL DISTRICT 0000 X.XXXXXXX XXXXXXXXXX XXXXX 000 XXXXXX , XXXXX 00000 Xxx Xxxxxx, Director of America Betsy Ramsey xxxxxx@xxx.xxx Secondary Band & Orchestra xxxxxxxx@xxxxxxxxx.xxx (000-) 000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3RICHARDSON INDEPENDENT SCHOOL DISTRICT 000 Xxxxx Xx. Xxxxxxxxxx, XX 00000 Xxxx Xxxxxxxx, Director of Fine Arts xxxx.xxxxxxxx@xxxx.xxx (000) 000-92DE-CB91E71E0AF6 0000 TIPS RFP # 210303 210302 Required Confidential Information Status Form Windstream Services LLC on behalf of itself Universal Melody Service:dba Xxxxx Xxxx and affiliates H&H Music Name of company Xxxxx X. Xxxxxx Xxxxxxx - Educational Sales Administrator Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxx X. Xxxxxxxxx Freeway Dallas, Texas 75247 000- 000-0000 xxx 00000 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of t the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxxx ISD Xxxxxxx Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxxxx00@xxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Ysleta ISD Xxxxx Xxxxxx xxxxxxx@xxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3El Paso ISD Xxxxxxx Xxxxxx xxxxxxxx@xxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 TIPS RFP # 210303 210301 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates School Health Corporation Name of company Xxxxx X. Xxxxxx Xxxx Xxxxxxx, Contract Sales Specialist Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxxx Xxxxxxx Xxxxxxx XX 00000 866-323-5465 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES DeltaWare Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone United ISD Xxx Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxx@xxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Xxx Xxxxxx ISD Xxxxxx Xxxxxxx xxxxxx.xxxxxxx@xxxxxx.xxx 000-000-0000 #Sensitivity(000) 000-0000 CPS Energy Xxxx Xxxx xxxxxx@xxxxxxxxx.xxx North Arkansas Electric Co-op Xxxxxxx Xxxxxx xxxxxxx@xxxxx.xxx 000-000-0000 SUPPLIER CLEARINGHOUSE CERTIFICATE OF ELIGIBILITY CERTIFICATION EXPIRATION DATE: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below November 8, 2021 The Supplier Clearinghouse for the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 Utility Supplier Diversity Program 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 OPTION 2California Public Utilities Commission hereby certifies that it has audited and verified the eligibility of: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.DeltaWare Inc.

Appears in 1 contract

Samples: www.tips-usa.com

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of t the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within with the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Corpus Christi ISD Xxxxx Xxxxx, Purchasing xxxxx.xxxxx@xxxxx.xx (000-) 000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Dallas ISD Xxxxxxx Xxxxxxxxx, Buyer xxxxxxxxxxxxxx@xxxxxxxxx.xxx (000-) 000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Arlington ISD Xxxxx Xxxxx, Director of Purchasing xxxxxxxxxx@xxxx.xxx (000) 000-92DE0000 Fort Bend ISD Xxxxxxxx Xxxxxx, Senior Buyer Xxxxxxxx.Xxxxxx@xxxxxxxxxxx.xxx (000) 000-CB91E71E0AF6 0000 Lewisville ISD Xxxxx Xxxxx, Director of Purchasing xxxxxx@xxxx.xxx (000) 000-0000 TIPS RFP # 210303 200804 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: Nasco Education LLC Name of company Xxxxxxxx Xx, Contract sales Manager Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxxxxxxx Xxx Xxxx Xxxxxxxx XX 53538 800-558-9595 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your i proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e yo event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of t the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Pasadena ISD Xxxxx Xxxxxxx - Director of Purchasing xxxxxxxx@xxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000San Antonio ISD Xxxxx Xxxxxx - Materials Mgmt XXxxxxx@xxxxx.xxx (000)000-0000 #Sensitivityxxx 00000 Corpus Christi ISD Xxxxxxx Xxxxxxxx Xxxxxxx.Xxxxxxxx0@xxxxx.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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 Gateway Printing & Office Supply, Inc. (Name of Corporation) Xxx Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxx Xxxxx (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 Sr Vice President (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 3/9/2021 DATE TIPS RFP # 210303 210301 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Gateway Printing & Office Supply, Inc. Name of company Xxxxx X. Xxxxxx Xxxxx, Xx Vice President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 00000 Xxxxxxxx Xx Xxx Xxxxxxx XX 00000 (210)650-3995 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 2 REFERENCES Ironwood Manufacturing, Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within serv 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 Sonoran Schools Xxxxx Xxxxxx Brothers xxxxxxx@xxxxxxxxxxxxxx.xxx 480-940-5440 International School Services Xxxxxxxx Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx xxxxxxx@xxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212xxx 000 St Xxxxxxx School Xxxxx Xxxxx xxxxxxxxxxxxx@xxxxxxxxxxxxxxxxx.xxx (000) 000-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 0000 Rochester Prep High School Xxxxxxxxxxx Xxxx Xxxxxxxxxxx.Xxxx@xxxxxxxxxxxxx.xxx 000-000-0000 #SensitivityCERTIFICATION 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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC Ironwood Manufacaturing, Inc. (Name of Corporation) See Corporate Resolution Below certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that (Name of person who completed proposal document) who signed the foregoing proposal on behalf of itself and affiliates Name the corporation offerer is the authorized person that is acting as (Title/Position of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below person signing proposal/offer document within the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8corporation) 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 materialssaid 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. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.CORPORATE SEAL if available SIGNATURE

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 Lone Star Communications, Inc. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Email Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx ISD Xxx Xxxxxxx, Dir. Of Technology xxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University Mineral Xxxxx ISD Xxxxx Xxxxxxxx, Dir of America Betsy Ramsey xxxxxx@xxx.xxx Facilities xxxxxxxxx@xxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Frisco ISD Xxxx Xxxxxx, Dir. Technology xxxxxxx@xxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 TIPS RFP # 210303 210502 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Lone Star Communications, Inc. Name of company Xxxxx X. Xxxxxx Xxxxxxx Xxxxxxxxx - Director of Customer Experience Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxx xxx Xxxxxxx, Xxx. 000 Xxxxx Xxxxxxx XX 00000 972-336-0000 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your This form you will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, this W-9 proposal r may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish aw to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an w attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within 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 Birdville ISD Xxxxxxx Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxxxxx.xxxxxx@xxxxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Arlington ISD Xxxx Xxxxxx Xxxxxxx00@xxxx.xxx 000-000-0000 #SensitivityEagle Mountain- Saginaw ISD Xxxxxxx Xxxxxx xxxxxxx@xxx-xxx.xxx 817-232-0880 EXT 2977 Mansfield ISD Xxxxx Xxxxxxx xxxxxxx000@xxxxxxxxx.xxx 000-000-0000 The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company’s compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Any changes made to your company’s information may require the HUB Program to re-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on behalf state procurement resources that can increase your company’s chances of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below doing business with the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1752687147400 File/Vendor Number: 057565 Approval Date: 14-DEC-2018 Scheduled Expiration Date: 14-DEC-2022 The Texas Comptroller of your proposal Public Accounts (CPA), hereby certifies that COMPLETE SUPPLY, INC. has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate printed 14-DEC-2018, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)(i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business’ application for registration/certification as a HUB, you must attach immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a copy compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of all claimed confidential materials within your proposal ineligibility. Xxxxx Xxxxx-Xxxxxxxx, Statewide HUB Program Manager Statewide Support Services Division Note: In order for State agencies and put institutions of higher education (universities) to be credited for utilizing this COMPLETED form business as a cover sheet HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to said materials then scan, name “CONFIDENTIAL” and upload with verify the company’s HUB certification prior to issuing a notice of award by accessing the Internet (https:llmycpa.cpa.state.tx.usltpasscmblsearchlindex.jsp) or by contacting the HUB Program at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Rev. 06/16 The one-stop shop for all your proposal submissionfacility needs. Facility Supplies Equipment Batteries 9 Volt AAA AA C D Batteries (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 RequestFloor Machines) AGM Lithium Ion Wet Cell Brooms Push Brooms Household Warehouse Brushes Hand Brushes Deck Brushes Can Liners Compostable High Density Low Density Recycled Carts Janitorial Food Service Dispensers Cups Laundry Dispensers (cont.) ESC8 Napkins Odor Control Soaps Tissues Towels Wipers Dusting Dusters & Pans Floor Pads Buffing Burnish Microfiber Scrub Strip Food Service Bowls Cups Food Trays Plates Straws Table Covers Utensils Gloves Latex Leather Nitrile Polypropylene Gloves (cont.) Rubber Safety Cut Resistant Vinyl Handles Brushes Brooms Dust Mops Microfibers Telescopings Wet Mops Mats Indoor Outdoor Special (Custom) Urinal Mops Dust Mops Finish Mops Microfiber Mops Wet Mops Mop Equipment Buckets & Pails Paper Facial Napkins Newsprint Tissue Towels Seat Covers Wipers Personal Care Sanitary Napkins Sanitary Liners Tampons Rags Colored White Knit Safety Equipment Glasses Supplies Scrapers Razor Blades Long Handle Scouring Hand Pads Sprayers Bottles & Sprayers Pumps Electrostatic Squeegee Floor Window Tapes Urinal Blocks Mats Warehouse Supplies Waste Receptacles Trash Cans Trash Can Dollies New, Used & Leased Auto Srubbers Blowers Burnishers Carpet Extractors Carpet Vacuums Floor Buffers Lithium Ion Battery Equipment No-Touch Restroom Cleaning Sweepers Wet Dry Vacs Equipment Lines Advance Xxxxxx ICE IPC Eagle Kaivac Motor Scrubber NSS ProTeam Square Scrub Viper Repairs & Maintenance Contracts We carry a full line of industrial and TIPS will follow procedures of controlling statute(sjanitorial chemicals. If you can’t find what you’re looking for, call us. Adhesives Air Fresheners Automotive Bathroom Cleaners Carpet Care Degreasers Dishwash Disinfectants $PQZSJHIU ª 2019 $PNQMFUF 4VQQMZ, *OD. ] )6# $XXXXXXXX 0XXXX-0XXXX 0000 0XXX $SPTCZ 3PBE, 4VJUF 144, $BSSPMMUPO, 59 75006 ] 214-231-3631 ] D-TVQQMZ.DPN Drain Openers Envirox Floor Buffing Floor Finish Floor Seal Floor Seal Epoxy Floor Stripper Floor Sweep Food Service General Purpose Glass Cleaner Graffiti Remover Hand Care (Bar Soap) 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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(sHand Care (Powder) 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Hand Care (Industrial) Hand Care (Foam) Hand Care (Restrooms) Herbicide HVAC Ice Melt Industrial Insecticides Laundry Products Lubricants Microorganisms Odor Control Oven Cleaners Penetrants Polish Private Label RTV Silicones Rubber Care Rust Coverters Safety Solvents Sealers Sewer Solvents Silicone Spot & Stain Remover Stone Care Stainless Steel Cleaner Window Tint

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in i your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from fro you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to accordi the terms of the Confidentiality Claim Form which is an attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx City of Xxxxxxx XXXXXX GUTHRIE Xxxxxx.Xxxxxxx@xxxxxxxxx.xxx (000-) 000-0000 Bank Street Houston Community College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212Xxxxxxx xxxxxxxx.xxxxxxx@xxxx.xxx 713.718.5278 Houston ISD Xxxx Xxxxxxxxxxx Xxxx.xxxxxxxxxxx@xxxxxxxxxx.xxx 713-875778-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone 3440 ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS SECTION. DO NOT Xxxxxxxxx Xxxxxx, Mayor CITY OF EDUCATION SERVICE CENTER REGION 8 HOUSTON Office of Business Opportunity Allprint & Office Supply, Inc. is duly certified as a Minority Business Enterprise (MBE) Certified Categories: Certification Number: 15-09-4116 NAICS 323111: COMMERCIAL PRINTING (EXCEPT SCREEN AND TIPS BOOKS) Director of Office of Business Opportunity Note: This certificate is the property of the City of Houston Office of Business Opportunity, and may be revoked should the above named firm graduate form the MWDBE program or the firm’s certification is no longer active. In addition, this certificate is valid only in conjunction with the firm's active listing in the City of Houston's Directory of certified MBE, WBE, SBE, PDBE, ACDBE and DBE firms via the following weblink: xxxxx://xxxxxxx.xxxxx.xxx/?TN=houston. The Texas Comptroller of Public Accounts (ESC8CPA) IS GOVERNED BY TEXAS GOVERNMENT CODEadministers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, CHAPTER 552 which includes certifying minority-, woman- and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. The CPA has established Memorandums of Agreement with other organizations that certify minority-, woman- and service disabled veteran-owned businesses that meet certification standards as defined by the CPA. The agreements allow for Texas-based minority-, woman- and service disabled veteran-owned businesses that are certified with one of our certification partners to become HUB certified through one convenient application process. In accordance with the Memorandum of Agreement the CPA has established with the HOUSTON MINORITY SUPPLIER DEVELOPMENT COUNCIL (HMSDC), we are pleased to inform you that your company is now certified as a HUB. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to remain certified with the HMSDC, and they determine that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HMSDC in writing of any changes affecting your company’s compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Any changes made to your company’s information may require the HMSDC and/or the HUB Program to re-evaluate your company’s eligibility. Failure to remain certified with the HMSDC, and/or failure to notify them of any changes affecting your company’s compliance with HUB eligibility requirements, may result in the revocation of your company's certification. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) that will provide you with addition information on state procurement resources that can increase your company’s chances of doing business with the state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free In Texas at 0-000-000-0000. RRTexas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1760329153900 File/Vendor Number: 08711 Approval Date: 12-JUN-2020 Scheduled Expiration Date: 31-JUL-2021 In accordance with the Memorandum of your proposal Agreement between the HOUSTON MINORITY SUPPLIER DEVELOPMENT COUNCIL (HMSDC) and the Texas Comptroller of Public Accounts (CPA), the CPA hereby certifies that ALL PRINT & OFFICE SUPPLY DBA ALL PRINTI has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate, printed 22-SEP-2020, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information (i.e., business structure, ownership, day-to-day management, operational control, addresses, phone and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code fax numbers or other law(s)authorized signatures) provided in the submission of the business’ application for registration/certification into the HMSDC’s program, you must attach immediately (within 30 days of such changes) notify the HMSDC’s program in writing. The CPA reserves the right to conduct a copy compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of all claimed confidential materials within ineligibility. If your proposal and put this COMPLETED form as a cover sheet firm ceases to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information remain certified in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if anyHMSDC’s program, you deem confidential in must apply and become certified through 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 State of Texas Attorney General is required HUB program to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section belowmaintain your HUB certification.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Berkeley Heights Township, NJ Xxxx Xxxxx xxxxxx@xxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic Rutgers University of America Betsy Ramsey xxxxxx@xxx.xxx Xxxx Xxxxxxxxxx xxxx.xxxxxxxxxx@xxxxxxx.xxx 000-000-0000 #SensitivitySaugus High School Saugus, MA Xxxxx Xxxxxxxxx xxxxxxxxxx@xxxxx-xxxx-xxxxx.xxx 000-000-0000 Marlborough Elementary School Marlborough, MA Xxxxxx Xxxxx xxxxxx000@xxxxxxx.xxx 413-773-5247 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: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 Xxxxx Xxxxx Metalworks, Inc. DBA Great Openings (Name of Corporation) certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxx XxXxxxxxx (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 Government Sales Facilitator (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 04/08/2021 DATE TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Xxxxx, Corporate Principal Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t 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” 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. OPTION 1: 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 OPTION 2: OR - I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Emeco Industries Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within servi the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx City of Beaumont Xxxxxxx Xxxxxxxx Xxxxxxx.Xxxxxxxx@xxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Houston Public Library Xxxxx Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx xxxxx.xxxxxxxx@xxxxxxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3The Texas A&M University System Xxxxxxxxx Xxxxxxxxx xxxxxxxxxx@xxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 TIPS RFP # 210303 201101 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Emeco Industries Inc. Name of company Xxxxx X. Xxxxxx Xxxxxxx - Vice President of National Sales Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 000 X. Xxx Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Xxxxxxx XX 00000 562 533 0031 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Fort Worth ISD Xxxxxxx Xxxx, CFO xxxx.xxxx@xxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx St. John’s School Xxxxxx Xxxxxxx, Human Resources Director xxxxxxxx@xxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3x000 Conroe ISD Xxxxxx Xxxx, Chief Financial Officer xxxxx@xxxxxxxxx.xxx 000-92DE000-CB91E71E0AF6 0000 TIPS RFP # 210303 200601 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: TCG Consulting, LP Name of company Xxxxx Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxx xx XX Xxx, Xxx 000 Xxxxxx XX 00000 (512) 600-5260 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: 7/15/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Cleveland Clinic, Cleveland, OH Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxxxx, Senior Director, Laundry & Linen xxxxxxx@xxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic Ohio State University of America Betsy Ramsey xxxxxx@xxx.xxx Medical Center, Columbus, OH Xxxxxx Xxxxxx, Facility Planning Xxxxxx.xxxxxx@xxxxx.xxx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 UPMC Pinnacle York Acute and Xxxxxxxxxx Xxxx Xxxx, Xxxx, XX Xxxx Xxxxxxx Wohlsen Construction xxxxxxxx@xxxxxxx.xxx TIPS RFP # 210303 200604 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. Standard Textile Co., Inc. Name of company Xxxxxx Xxxxxxx, VP of Business Strategy and Operations, Interiors Group Printed Name and Title of authorized company officer declaring below the confidential status of material 0 Xxxxxxxxxx Xxxxx Xxxxxxxxxx XX 00000 800-999-0400 Address City State ZIP Phone 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 1 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 OPTION 2: July 17, 2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your This form you will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your response, this W-9 proposal r may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e event that you are awarded. If you wish aw to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an w attachment to this solicitation. REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within s 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 Birdville ISD Xxxxxxx Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Xxxxxxx.xxxxxx@xxxxxxxxxxxxxxxx.xxx 000-000-0000 Bank Street College Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx Arlington ISD Xxxx Xxxxxx Xxxxxxx00@xxxx.xxx 000-000-0000 #SensitivityEagle Mountain- Saginaw ISD Xxxxxxx Xxxxxx xxxxxxx@xxx-xxx.xxx 817-232-0880 EXT 2977 Mansfield ISD Xxxxx Xxxxxxx xxxxxxx000@xxxxxxxxx.xxx 000-000-0000 The Texas Comptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company continues to meet HUB eligibility requirements, the attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company’s compliance with the HUB eligibility requirements, including changes in ownership, day-to-day management, control and/or principal place of business. Note: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3Any changes made to your company’s information may require the HUB Program to re-92DE-CB91E71E0AF6 TIPS RFP # 210303 Required Confidential Information Status Form Windstream Services LLC evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on behalf state procurement resources that can increase your company’s chances of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below doing business with the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1752687147400 File/Vendor Number: 057565 Approval Date: 14-DEC-2018 Scheduled Expiration Date: 14-DEC-2022 The Texas Comptroller of your proposal Public Accounts (CPA), hereby certifies that COMPLETE SUPPLY, INC. has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate printed 14-DEC-2018, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)(i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business’ application for registration/certification as a HUB, you must attach immediately (within 30 days of such changes) notify the HUB Program in writing. The CPA reserves the right to conduct a copy compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of all claimed confidential materials within your proposal ineligibility. Xxxxx Xxxxx-Xxxxxxxx, Statewide HUB Program Manager Statewide Support Services Division Note: In order for State agencies and put institutions of higher education (universities) to be credited for utilizing this COMPLETED form business as a cover sheet HUB, they must award payment under the Certificate/VID Number identified above. Agencies, universities and prime contractors are encouraged to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. verify the company’s HUB certification prior to issuing a notice of award by accessing the Internet (You must include all xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp) or by contacting the confidential information HUB Program at 000-000-0000 or toll-free 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 RequestTexas at 0-000-000-0000.) 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. OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the e 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. REFERENCES EMS LINQ, Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx Brothers Xxxxxx Xxxxxx xxxxxxxx@xxxxxxxxxxxxxx.xxx Lebanon School District Xxxx Xxxxxxxx xxxxxxxxx@xxxxxxx.x00.xx.xx (000) 000-0000 extension 6823 Xxxxxxxx Township School District Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxx.x00.xx.xx 000-000-0000 Bank Street College x0000 Neptune Township School District Xxxxx Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxx.xxx 212-875-4500 Catholic University of America Betsy Ramsey xxxxxx@xxx.xxx XxXxxxxxxx@xxxxxxx.x00.xx.xx 000-000-0000 #Sensitivity: Internal DocuSign Envelope ID: 6BB80CBF-52BA-4DF3-92DE-CB91E71E0AF6 x0000 TIPS RFP # 210303 200702 Required Confidential Information Status Form Windstream Services LLC on behalf of itself and affiliates Name of company Xxxxx X. Xxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxxxx Little Rock AR 72212 512.422.1436 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and 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. OPTION 1: EMS LINQ, Inc. Name of company Xxxx Xxxxxx, Chief Revenue Officer Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxxxxxx Xxxx., Xxx. 000 Xxxxxxxxxx XX 00000 800.541.8999 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

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