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 entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the event that you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. 9 5 TIPS RFP # 210305 Symbiote, Inc. Name of company Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Vice President Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 616-772-1790 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2: 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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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 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 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: Achieve3000, Inc. (Name of Corporation) Xxxxxxxx Xxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) Chief Financial Officer named as OFFERER herein above; that Xxxxxxxx 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 Chief Financial Officer (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. NƒA CORPORATE SEAL if available SIGNATURE 4ƒ15ƒ21 DATE TIPS RFP # 210305 Symbiote210301 Achieve3000, Inc. Name of company Required Confidential Information Status Form Xxxxxxx XxxxxxxxXxxxxxxx Xxxxx, Vice President Chief Financial Officer Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxx Xxxxxxx XX 00000 616-772-1790 Road, Suite 304 Red Bank NJ 07701 732.367.5505 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 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR 4/15/21 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 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 TIPS RFP # 210305 Symbiote210101 Required Confidential Information Status Form IXL Learning, Inc. Name of company Required Confidential Information Status Form Xxxxxxx XxxxxxxxXxxx Xxxxxxx, Vice President Chief Executive Officer Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 616Xxxxxxxx Xxxxxx Xxxx., Xxxxx 000 Xxx Xxxxx CA 94404 650-772387882-1790 27-84-8630000 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date 2/9/21 OR OPTION 2: 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 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 TIPS RFP # 210305 Symbiote, Inc. 210401 VISUAL AV LLC Name of company Required Confidential Information Status Form Xxxxx Xxxxxxx XxxxxxxxKhan, Vice President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxx Xxxxxxxxx Xxxx, Xxxxx 000 X. Xxxxxxxxxx Xx Xxxxxxx Xxxxx Xxxx XX 00000 616-772-1790 8325207473 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 88 5 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR 2/17/2020 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 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 TIPS RFP # 210305 SymbioteCERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, Inc. THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: IBOE2NJOE, *OD. (Name of Corporation) 8JMMJBN $IJBTTPO certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that 3BTIPOEB $BSSPMM (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 4BMFT 4VQQPSU 4QFDJBMJTU (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 4/15/2021 DATE 000 Xxxxxxxxx Xxxxx Xxxxxx Xxxxx, Xxxxxxxx 00000 800.445.5985 xxxx0xxxx.xxx At hand2mind we believe children learn best by doing. For over 50 years, teachers and administrators at thousands of schools and districts across the country have relied on our high-quality, hands-on materials to expand their core curriculum. From math to science to STEM to literacy and from manipulatives to lessons to teacher/parent support materials, we’re always on the lookout for new ways to get students’ hands and minds working together. Our Background Known as ETA since 1965, our Illinois-based company Required Confidential Information Status Form received worldwide recognition for unique, hands-on, research-based teaching solutions that fully engage students and elevate student achievement. The company’s legacy was built with educational manipulatives, instructional curriculum and learning kits. When ETA acquired longtime competitor The Cuisenaire Company of America in 2000, it made sense to combine ETA and Cuisenaire names. Then in April 2012, ETA/Cuisenaire® rebranded as ETA hand2mind, and in 2019 we solidified our band name to: hand2mind. Our research revealed that the hand2mind name better communicates the benefits we provide educators and students. hand2mind is a distributor and publisher of various learning and teaching aids catering to schools and textbook publishers throughout the US. The company has been in continuous operation for over 50 years in Illinois, out of a 170,000 square foot office and distribution facility in Vernon Hills, IL. The company employs 100 full time employees through-out the year accounting for operations, distribution, order fulfillment, customer service, sales, marketing, product development, IT, finance and administration staff. The management team is led by CEO Xxxxxxx Xxxxxxxxxx along with an executive team consisting of Senior VP Xxxxxxx Xxxxxxxx, Vice President Printed Name CFO Xxxxxx Xxxxxxx, and Title VP of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Sales Xxxxxxx XX 00000 616-772-1790 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 proposalXxXxxx. 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 financial structure and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment working capital of the enclosed materialscompany is sound with a stable history for over 50 years. 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 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2: I DO NOT CLAIM any of my proposal to be confidential, complete the section below.Our Values

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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 210304 Required Confidential Information Status Form LIVV GREEN LLC Name of company Xxxx Xxxxxxx Xxxxxxxx, Vice President Founder Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 616-772-1790 Xxxxxx Xxxx Xx. Euless 76039 TX 972 86 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date 4 16 2021 OR OPTION 2: 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 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 DocuSign Envelope ID: B75C3564-2A74-43B9-9A3F-2E42069EFAD3 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: Avaya Inc. (Name of Corporation) Xxxxxxx Xxxxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxx (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 Area Sales Leader (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 February 10, 2021 | 6:26 AM PST DATE DocuSign Envelope ID: 2AF38578-17BA-447E-AC32-D0C6CFFB9A25 TIPS RFP # 210305 Symbiote, Inc. Name of company 210101 Required Confidential Information Status Form Avaya Inc. Name of company Xxxxxxx XxxxxxxxXxxx, Vice President Area Sales Leader Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxx Xxxxxxx, Xxxxx 000 X. Xxxxxxxxxx Xx Xxxxxxx Xxxxxx XX 00000 616713-772852-1790 1161 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 88 3 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 February 10, 2021 | 9:45 AM EST Signature Date: 2021.04.13 12:57:58 -04'00' 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 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 DocuSign Envelope ID: B2F16C9A-B6C4-41E4-A07C-6ECD059D7855 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: Epson America, Inc. (Name of Corporation) Xxxxxx Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxx (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, Sales Operations (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 2/10/2021 DATE DocuSign Envelope ID: E28973C2-C800-4302-9CEE-114CE38E9E94 TIPS RFP # 210305 Symbiote210103 Required Confidential Information Status Form Epson America, Inc. Name of company Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Vice President Xxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx 0000 Xxxxxxx XX 00000 616Xxxxxx CA 90720 562-772290-1790 5257 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date 2/18/2021 OR OPTION 2: 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 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 TIPS RFP # 210305 SymbioteTOSHIBA MANUFACTURER'S CERTIFICATE Corporate Office: ELECTRONIC IMAGING DIVISION 00000 XXXXXXXXXXXXXXXXX XXXX XXXXXX, XX 00000 PHONE:000-000-0000 Toshiba America Business Solutions, Inc. Name 00000 Xxxxxxxxxxxx Xxxxx Xxxx Xxxxxx, XX 00000 Customer /Potential Customer: Request for Proposal #: The Interlocal Purchasing System (TIPS) RFP #210103 Copiers, Fax, Multifunction Machines and Services Toshiba America Business Solutions, Inc. (Toshiba) is a Toshiba Group Company of company Required Confidential Information Status Form Xxxxxxx Toshiba TEC Corporation. and our authorized resellers and service providers Toshiba certifies that: Toshiba will provide all required Toshiba equipment, accessories, parts, supplies, related products, software solutions and other needed support materials to the Toshiba Service Providers (as defined below) for the duration of any contract resulting from this bid/proposal; and Toshiba certifies that the Toshiba Service Providers indicated on the attached, " Resellers - Dealers-Sheet," of Toshiba' s response, are authorized to sell, service and warrant all Toshiba products offered in the RFP; and The Toshiba equipment offered is only newly manufactured and not refurbished or reconditioned; and IBA AMERICA BUSINESS SOLUTI Toshiba guarantees the availability of parts and service for its product for seven (7) years after the last date of manufacture. TOSHIBA AMERICA BUSINESS SOLUTIONS, INC. Authorized Signature ________________________________ Authorized Signature Xxxxxx Xxxxxxxx, Vice President Printed of Enterprise Administration Name and & Title of authorized company officer declaring below the confidential status of material February 8, 2021 Date 000 X. Xxxxxxxxxx Xx XXXXXXXX XXXXXXXXX, XXXXXXXXXXX, XX 00000-0000 TEL 000-000-0000 FAX 000-000-0000 BROTHER INTERNATIONAL CORPORATION September 24, 0000 Xxxxxxx Xxxxxxx Business Solutions 00000 Xxxxxxxxxxxx Xx. Xxxx Xxxxxx, XX 00000 616Re: Letter of Authorization To Whom it May Concern: This letter shall confirm that Toshiba America Business Solutions, headquartered at 00000 Xxxxxxxxxxxx Xx., Xxxx Xxxxxx, XX 00000, is currently authorized to resell Brother Products within the United States of America. Any additional information needed please contact Xxxxx Xxxxxxxx at 000-772000-1790 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 CODE0000. Sincerely, CHAPTER 552 If you consider any portion Xxx Xxxxxxxx Vice President 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)Sales Brother International Corporation 000 Xxxxxxxx Xxxxxxxxx Xxxxxxxxxxx, 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 scanXX 00000-0000 xxx.xxxxxxx.xxx HP Inc. 000 Xxxx Xxxx Xxxx Xxxx Xxxx, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information XX 00000 XXX xx.xxx July 29, 0000 Xxxxxxx Xxxxxxx Business Solutions, Inc. 00000 Xxxxxxxxxxxx Xx Xxxx Xxxxxx Xxxxxxxxxx 00000 To whom it may concern: Toshiba America Business Solutions, Inc. is an HP Authorized Partner in the submitted proposal. The copy uploaded is US, which includes access to indicate which material in your proposalall commercial products and the services associated with them – not requiring additional authorization and includes all Open products from an authorized HP US Commercial Distributor, if any, you deem confidential for resale to end user customers in the event USA. Toshiba America Business Solutions, Inc. holds the receives following additional authorizations: PM US Qualified Print Partner Program US Qualified Supplies Partner Program HP US Agent Addendum US Public Sector Fulfillment Entity Addendum Toshiba America Business Solutions, Inc. has been an HP ServiceOne Printing & Personal Systems (PPS) Delivery Partner since 10/22/2009 HP ServiceOne Printing & Personal Systems (PPS) Delivery Partners are authorized to deliver warranty and HP Care Pack Services on HP Personal Systems (such as HP Business PCs or HP Commercial Notebooks) and HP Imaging & Printing products (such as HP LaserJet shared printers or HP DesignJet large format printing) provided that the technicians performing the Services hold the appropriate service qualification. HP Point of Contact for Partner Authorization verification is listed below: xx.xxxxxxxxxxxxxxxxx@xx.xxx/ 0-000-000-0000 Opt. 2, 3 or 4 Customers can also locate or confirm partners through the HP Partner Locator at xxxx://xxx0.xx.xxx/us/en/store-finder/xxxxx.xx Sincerely, Xxxxxxxxx Xxxxxx HP Inc. North American Contracts Lead January 11, 0000 Xxxxxxx Xxxxxxx Business Solutions 00000 Xxxxxxxxxxxx Xxxxx Xxxx Xxxxxx, XX 00000 To all parties of interest, Toshiba America Business Solutions is an authorized strategic global distributor for XXX products. Toshiba America Business Solutions commitment to high service standards and the continued support of XXX product technologies is a Public Information Request.) ESC8 significant value to a customer’s purchasing decision. Our highest priority is customer satisfaction as it relates to the use and TIPS will follow procedures of controlling statute(s) overall customer experience regarding any claim of confidentiality and shall not XXX products. It would be liable our pleasure to discuss Toshiba America Business Solutions tenured experience supporting XXX technology. Please contact Xxxxx Xxxxx or Xxxxxxx Xxxxx for any release of additional information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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 PROPOSALrequired. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature DateXxxxx Assistant to Vice President of Sales North America 00000 00 Xxxx Xxxx Xxxx, XX 00000 Phone: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2(800) 252−6793 Email: I DO NOT CLAIM any xxxxxx@xxxxxxxxxx.xxx Xxxxx Xxxxx XXX Customer Care Center Manager 00000 00 Xxxx Xxxx Xxxx, XX 00000 Phone: (800) 252−6793 Email: xxxxxx@xxxxxxxxxx.xxx Best Regards, Xxx Xxxx Vice President of my proposal Sales − North America September 16, 2020 Manufacturer Letter of Authorization Lexmark International, Inc. hereby certifies that Toshiba America Business Solutions, Inc. is a reseller of Lexmark products and is authorized to be confidentialsell all such products. Lexmark International, complete Inc. Toshiba America Business Solutions, Inc. Manufacturer Name of Reseller 000 Xxxx Xxx Xxxxxx Xxxx 00000 Xxxxxxxxxxxx Xx. Xxxxxxxxx, XX 00000 Xxxx Xxxxxx, XX 00000 Xxxxx Xxxxx National Sales Director Education & Government (SLED) Lexmark International, Inc. 000 Xxxx Xxx Xxxxxx Xxxx Xxxxxxxxx, XX 00000 Product/Services Brochures Summary – RFP 210103 Copiers, Fax, Multifunction Machines and Services Toshiba has presented below links to brochures for the section below.products being proposed. Toshiba e-STUDIO478S xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/478S%20Brochure-PH-11-2-18-F.pdf Toshiba e-STUDIO2822AM / 2822AF xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/2822AM- 2822AF%20Spec%20Sheet.pdf Toshiba e-STUDIO2823AM xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/2823AM%20Spec%20Sheet.pdf Toshiba e-STUDIO2329A / 2829A xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/2329A-2829A%20Spec%20Sheet.pdf Toshiba e-STUDIO2018A / 2518A / 3018A xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/2018A-2518A- 3018A%20Brochure.pdf Toshiba e-STUDIO3518A / 4518A / 5018A xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/3518A-4518A- 5018A%20Brochure.pdf Toshiba e-STUDIO4508LP xxxx://xxxxxxxx.xxxxxxx.xxx/media/downloads/products/4508LP%20Brochure.pdf Toshiba e-STUDIO5518A / 6518A / 7518A / 8518A xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/8518A%20Series%20Bro- US_Single%20Pgs-PH-11-15-18.pdf Toshiba e-STUDIO1058 / 1208 xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/1208%20Series%20Brochure.pdf Toshiba e-STUDIO389CS / 479CS xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/389CS-479CS%20Brochure-PH-11-2- 18-F.pdf Toshiba e-STUDIO330AC / 400AC xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/330AC-400AC%20Brochure.pdf Toshiba e-STUDIO2010AC / 2510AC xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/2010AC-2510AC%20Brochure.pdf

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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 200601 Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Vice President Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 616-772-1790 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. Engage! Learning, Inc. dba engage2learn Name of company Xxxxx Xxxxx, Chief Operations Officer Printed Name and Title of authorized company officer declaring below the confidential status of material P.O. Box 695 Portland TX 00000 (000) 000-0000 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 88 23 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date 07/16/2020 OR OPTION 2: 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 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 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: Apex Learning Inc. (Name of Corporation) Xxxxxx Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxx Xxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Senior Vice President of Client Services (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. *** When corporations are formed in Washington State, corporate seals are not issued. Thus, we will not apply a corporate seal to this page. *** CORPORATE SEAL if available SIGNATURE 4/8/21 DATE TIPS RFP # 210305 Symbiote, Inc. Name of company 210301 Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Apex Learning Inc. Name of company Xxxxx Xxxxxxxx Senior Vice President of Client Services Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx 0000 0xx Xxxxxx, Xxxxx 0000 Xxxxxxx XX 00000 616206-772381-1790 5600 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 88 Reference Form 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR 4/8/21 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 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 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: CyberDefenses, Inc. (Name of Corporation) Xxxxxx Xxxxxxxx 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 Vice President, 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. N/A CORPORATE SEAL if available SIG NATURE 2/25/21 DATE TIPS RFP # 210305 Symbiote, Inc. Name of company 210101 Required Confidential Information Status Form Xxxxxxx XxxxxxxxCyberDefenses Name of company Xxxx XxXxxxx, Vice President VP Sales and Marketing Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 6160 Xxxxxxxx Xxxxx, Ste 327 Round Rock Texas 78681 512-772569-1790 0619 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 88 8 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2: 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 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 TIPS RFP # 210305 SymbioteTOSHIBA MANUFACTURER'S CERTIFICATE Corporate Office: ELECTRONIC IMAGING DIVISION 25530 COMMERCENTREDRIVE LAKE FOREST, CA 92630 PHONE:000-000-0000 Toshiba America Business Solutions, Inc. Name 00000 Xxxxxxxxxxxx Xxxxx Lake Forest, CA 92630 Customer /Potential Customer: Request for Proposal #: The Interlocal Purchasing System (TIPS) RFP #210103 Copiers, Fax, Multifunction Machines and Services Toshiba America Business Solutions, Inc. (Toshiba) is a Toshiba Group Company of company Required Confidential Information Status Form Xxxxxxx Toshiba TEC Corporation. and our authorized resellers and service providers Toshiba certifies that: Toshiba will provide all required Toshiba equipment, accessories, parts, supplies, related products, software solutions and other needed support materials to the Toshiba Service Providers (as defined below) for the duration of any contract resulting from this bid/proposal; and Toshiba certifies that the Toshiba Service Providers indicated on the attached, " Resellers - Dealers-Sheet," of Toshiba' s response, are authorized to sell, service and warrant all Toshiba products offered in the RFP; and The Toshiba equipment offered is only newly manufactured and not refurbished or reconditioned; and IBA AMERICA BUSINESS SOLUTI Toshiba guarantees the availability of parts and service for its product for seven (7) years after the last date of manufacture. TOSHIBA AMERICA BUSINESS SOLUTIONS, INC. Authorized Signature ________________________________ Authorized Signature Xxxxxx Xxxxxxxx, Vice President Printed of Enterprise Administration Name and & Title February 8, 2021 Date 000 XXXXXXXX XXXXXXXXX, XXXXXXXXXXX, XX 00000-0000 TEL 000-000-0000 FAX 000-000-0000 BROTHER INTERNATIONAL CORPORATION September 24, 2020 Toshiba America Business Solutions 00000 Xxxxxxxxxxxx Xx. Lake Forest, CA 92630 Re: Letter of Authorization To Whom it May Concern: This letter shall confirm that Toshiba America Business Solutions, headquartered at 25530 Commercentre Dr., Lake Forest, CA 92630, is currently authorized company officer declaring below to resell Brother Products within the confidential status United States of material America. Any additional information needed please contact Xxxxx Xxxxxxxx at 000-000-0000. Sincerely, Xxx Xxxxxxxx Vice President of Sales Brother International Corporation 000 X. Xxxxxxxxxx Xx Xxxxxxx Xxxxxxxx Xxxxxxxxx Bridgewater, NJ 08807-0911 xxx.xxxxxxx.xxx HP Inc. 000 Xxxx Xxxx Xxxx Xxxx Xxxx, XX 00000 616-772-1790 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 CODEXXX xx.xxx July 29, 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)2020 Toshiba America Business Solutions, 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 scanInc. 00000 Xxxxxxxxxxxx Xx Lake Forest California 92630 To whom it may concern: Toshiba America Business Solutions, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information Inc. is an HP Authorized Partner in the submitted proposal. The copy uploaded is US, which includes access to indicate which material in your proposalall commercial products and the services associated with them – not requiring additional authorization and includes all Open products from an authorized HP US Commercial Distributor, if any, you deem confidential for resale to end user customers in the event USA. Toshiba America Business Solutions, Inc. holds the receives following additional authorizations: PM US Qualified Print Partner Program US Qualified Supplies Partner Program HP US Agent Addendum US Public Sector Fulfillment Entity Addendum Toshiba America Business Solutions, Inc. has been an HP ServiceOne Printing & Personal Systems (PPS) Delivery Partner since 10/22/2009 HP ServiceOne Printing & Personal Systems (PPS) Delivery Partners are authorized to deliver warranty and HP Care Pack Services on HP Personal Systems (such as HP Business PCs or HP Commercial Notebooks) and HP Imaging & Printing products (such as HP LaserJet shared printers or HP DesignJet large format printing) provided that the technicians performing the Services hold the appropriate service qualification. HP Point of Contact for Partner Authorization verification is listed below: xx.xxxxxxxxxxxxxxxxx@xx.xxx/ 0-000-000-0000 Opt. 2, 3 or 4 Customers can also locate or confirm partners through the HP Partner Locator at xxxx://xxx0.xx.xxx/us/en/store-finder/xxxxx.xx Sincerely, Xxxxxxxxx Xxxxxx HP Inc. North American Contracts Lead January 11, 2019 Toshiba America Business Solutions 00000 Xxxxxxxxxxxx Xxxxx Lake Forest, CA 92630 To all parties of interest, Toshiba America Business Solutions is an authorized strategic global distributor for XXX products. Toshiba America Business Solutions commitment to high service standards and the continued support of XXX product technologies is a Public Information Request.) ESC8 significant value to a customer’s purchasing decision. Our highest priority is customer satisfaction as it relates to the use and TIPS will follow procedures of controlling statute(s) overall customer experience regarding any claim of confidentiality and shall not XXX products. It would be liable our pleasure to discuss Toshiba America Business Solutions tenured experience supporting XXX technology. Please contact Xxxxx Xxxxx or Xxxxxxx Xxxxx for any release of additional information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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 PROPOSALrequired. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature DateXxxxx Assistant to Vice President of Sales North America 00000 00 Xxxx Xxxx Novi, MI 48377 Phone: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2(800) 252−6793 Email: I DO NOT CLAIM any xxxxxx@xxxxxxxxxx.xxx Xxxxx Xxxxx XXX Customer Care Center Manager 00000 00 Xxxx Xxxx Novi, MI 48377 Phone: (800) 252−6793 Email: xxxxxx@xxxxxxxxxx.xxx Best Regards, Xxx Xxxx Vice President of my proposal Sales − North America September 16, 2020 Manufacturer Letter of Authorization Lexmark International, Inc. hereby certifies that Toshiba America Business Solutions, Inc. is a reseller of Lexmark products and is authorized to be confidentialsell all such products. Lexmark International, complete Inc. Toshiba America Business Solutions, Inc. Manufacturer Name of Reseller 000 Xxxx Xxx Xxxxxx Xxxx 00000 Xxxxxxxxxxxx Xx. Lexington, KY 00000 Xxxx Xxxxxx, XX 00000 Xxxxx Xxxxx National Sales Director Education & Government (SLED) Lexmark International, Inc. 000 Xxxx Xxx Xxxxxx Xxxx Xxxxxxxxx, XX 00000 Product/Services Brochures Summary – RFP 210103 Copiers, Fax, Multifunction Machines and Services Toshiba has presented below links to brochures for the section below.products being proposed. Toshiba e-STUDIO478S xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/478S%20Brochure-PH-11-2-18-F.pdf Toshiba e-STUDIO2822AM / 2822AF xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/2822AM- 2822AF%20Spec%20Sheet.pdf Toshiba e-STUDIO2823AM xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/2823AM%20Spec%20Sheet.pdf Toshiba e-STUDIO2329A / 2829A xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/2329A-2829A%20Spec%20Sheet.pdf Toshiba e-STUDIO2018A / 2518A / 3018A xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/2018A-2518A- 3018A%20Brochure.pdf Toshiba e-STUDIO3518A / 4518A / 5018A xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/3518A-4518A- 5018A%20Brochure.pdf Toshiba e-STUDIO4508LP xxxx://xxxxxxxx.xxxxxxx.xxx/media/downloads/products/4508LP%20Brochure.pdf Toshiba e-STUDIO5518A / 6518A / 7518A / 8518A xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/8518A%20Series%20Bro- US_Single%20Pgs-PH-11-15-18.pdf Toshiba e-STUDIO1058 / 1208 xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/1208%20Series%20Brochure.pdf Toshiba e-STUDIO389CS / 479CS xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/389CS-479CS%20Brochure-PH-11-2- 18-F.pdf Toshiba e-STUDIO330AC / 400AC xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/330AC-400AC%20Brochure.pdf Toshiba e-STUDIO2010AC / 2510AC xxxx://xxxxxxxx.xxxxxxx.xxx/media/tabs/downloads/product/mfp/2010AC-2510AC%20Brochure.pdf

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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 210101 Required Confidential Information Status Form Xxxxxxx XxxxxxxxHut Global Inc d.b.a. VolumeCases Name of company Xxxxx Xxxx, Vice President Senior Account Executive Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00xx Xxxx Xxxx Xxxxx XX 00000 616561-772571-1790 2523 x2 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2: 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 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 DocuSign Envelope ID: 0A97FD6F-92E4-40D4-9071-D38E20A03DDA 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: Liminex, Inc. dba GoGuardian (Name of Corporation) Xxxxxxx Xxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxxx Xxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Senior Capture Manager (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 2/22/2021 DATE DocuSign Envelope ID: 0A97FD6F-92E4-40D4-9071-D38E20A03DDA TIPS RFP # 210305 Symbiote, Inc. Name of company 210101 Required Confidential Information Status Form Liminex, Inc. dba GoGuardian Name of company Xxxxxxx XxxxxxxxXxxxx, Vice President VP of Sales Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx 0000 X Xxxxx Xxx Xx Xxxxxxx XX 00000 616-772-1790 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2: 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 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 DocuSign Envelope ID: B2F16C9A-B6C4-41E4-A07C-6ECD059D7855 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: Epson America, Inc. (Name of Corporation) Xxxxxx Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxx (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, Sales Operations (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 2/10/2021 DATE DocuSign Envelope ID: E28973C2-C800-4302-9CEE-114CE38E9E94 TIPS RFP # 210305 Symbiote210103 Required Confidential Information Status Form Epson America, Inc. Name of company Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Vice President Xxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx 0000 Xxxxxxx Xxxxxx XX 00000 616562-772290-1790 5257 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 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR 2/18/2021 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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 210103 Required Confidential Information Status Form Xxxxxxx XxxxxxxxSuifian Munir Inc. dba Xxxxx Business Machines Name of company Xxxxxx Xxxxx, Vice President CEO Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx 0000 Xxxxxxx XX Xxxx Xxx Xxxxx XXXX 00000 616880000-772-999922-1790 -55227799 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date 2/19/2021 OR OPTION 2: 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 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 TIPS RFP # 210305 Symbiote210101 NKS, Inc. LLC Name of company Required Confidential Information Status Form Xxxxxxx XxxxxxxxXxxxx, Vice President CEO Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx Xxxxx, Xxxxxxxxx XX 00000 616513-772739-1790 6246 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2: 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 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 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: xxxxxxx xxxx Tvinstal. LLC (Name of Corporation) certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that xxxxxxx xxxx (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 xxxxxxx xxxx (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 DATE 09/13/2020 TIPS RFP # 210305 Symbiote, Inc. Name of company 200904 Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Vice President Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 616-772-1790 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. Tvinstal. LLC. Name of company Xxxxxxx Xxxx owner Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 x 00 xxx xxxxxxx xx 00000 7868280819 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOWABOVE SECTION. 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 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date 09/13/2020 OR OPTION 2: 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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 210304 Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Vice President Quality Lighting Associates Name of company Price Xxxxxx - Principal Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx X Xxxxxxxx Xxxxx Xxxx Xxxx XX 00000 616-772-1790 6304338572 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 88 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. Xxxxxxx Xxxxxxxx Price Xxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Price Xxxxxx XX: cn=Price Xxxxxx, o=Quality Lighting Associates, ou, xxxxx=xxxxx.xxxxxx@xxxxxxxxxxxxxxxxxxxxxxxxx.xxx, c=US 4/14/2021 Signature Date: 2021.04.13 12:57:58 -04'002021.04.14 15:39:49 -05'00' 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

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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 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 TIPS RFP # 210305 SymbioteCERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, Inc. THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: Mohawk USA DBA Bump Armor (Name of company Required Confidential Information Status Form Corporation) Xxxxxxx Xxxxxxxx, Vice President Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 616-772-1790 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal Xxxx certify 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 am the Secretary of the enclosed materialsCorporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxx Xxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as COO (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. 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 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2: I DO NOT CLAIM any of my proposal to be confidential, complete the section below.CORPORATE SEAL if available SIGNATURE 2/8/21

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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 210101 Required Confidential Information Status Form Xxxxxxx XxxxxxxxHut Global Inc d.b.a. VolumeCases Name of company Xxxxx Xxxx, Vice President Senior Account Executive Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00xx Xxxx Xxxx Xxxxx XX 00000 616561-772571-1790 2523 x2 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 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' 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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 210304 Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Vice President Quality Lighting Associates Name of company Price Xxxxxx - Principal Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx X Xxxxxxxx Xxxxx Xxxx Xxxx XX 00000 616-772-1790 6304338572 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Price Xxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Price Xxxxxx XX: cn=Price Xxxxxx, o=Quality Lighting Associates, ou, xxxxx=xxxxx.xxxxxx@xxxxxxxxxxxxxxxxxxxxxxxxx.xxx, c=US 4/14/2021 Signature Date: 2021.04.13 12:57:58 -04'002021.04.14 15:39:49 -05'00' Date OR OPTION 2: 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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 210102 Required Confidential Information Status Form Xxxxxxx Xxxxxxxx2TAC CORPORATION Name of company V ROCNIK, Vice President PRESIDENT Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 616-772-1790 0000 XXXXXXX XXXXXX #105 CORONA CA 92881 +0.000.000.0000 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 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 88 4 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR 02/26/2021 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 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 DocuSign Envelope ID: B2F16C9A-B6C4-41E4-A07C-6ECD059D7855 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: Epson America, Inc. (Name of Corporation) Xxxxxx Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxx (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, Sales Operations (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 2/10/2021 DATE DocuSign Envelope ID: E28973C2-C800-4302-9CEE-114CE38E9E94 TIPS RFP # 210305 Symbiote210103 Required Confidential Information Status Form Epson America, Inc. Name of company Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Vice President Xxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx 0000 Xxxxxxx Xxxxxx XX 00000 616562-772290-1790 5257 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date 2/18/2021 OR OPTION 2: 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 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 TIPS RFP # 210305 Symbiote210101 Required Confidential Information Status Form IXL Learning, Inc. Name of company Required Confidential Information Status Form Xxxxxxx XxxxxxxxXxxx Xxxxxxx, Vice President Chief Executive Officer Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx Xxxxxxxx Xxxxxx Xxxx., Xxxxx 000 Xxx Xxxxx XX 00000 616650-772387882-1790 27-84-8630000 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 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR 2/9/21 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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company Required Confidential Information Status Form Xxxxxxx Xxxxxxxx, Vice President Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 616-772-1790 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 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' 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 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 TIPS RFP # 210305 Symbiotedba TOSHIBA BUSINESS SOLUTIONS TOSHIBA MANUFACTURER'S CERTIFICATE Corporate Office: ELECTRONIC IMAGING DIVISION 00000 XXXXXXXXXXXXXXXXX XXXX XXXXXX, XX 00000 PHONE: 000-000-0000 Toshiba America Business Solutions, Inc. Name 00000 Xxxxxxxxxxxx Xxxxx Xxxx Xxxxxx, XX 00000 Customer /Potential Customer: Request for Proposal #: The Interlocal Purchasing System (TIPS) RFP #210101 Technology Solutions, Products and Services Toshiba America Business Solutions, Inc. (Toshiba) is a Toshiba Group Company of company Required Confidential Information Status Form Xxxxxxx Toshiba TEC Corporation. and our authorized resellers and service providers Toshiba certifies that: Toshiba will provide all required Toshiba equipment, accessories, parts, supplies, related products, software solutions and other needed support materials to the Toshiba Service Providers (as defined below) for the duration of any contract resulting from this bid/proposal; and Toshiba certifies that the Toshiba Service Providers indicated on the attached, " Resellers - Dealers-Sheet," of Toshiba' s response, are authorized to sell, service and warrant all Toshiba products offered in the RFP; and The Toshiba equipment offered is only newly manufactured and not refurbished or reconditioned; and Toshiba guarantees the availability of parts and service for its product for seven (7) years after the last date of manufacture. _________________________________ BA AMERICA BUSINESS SOLUTIO A AMERICA BUSINESS SOLUTIONS, INC. Authorized Signature TOSHI Authorized Signature Xxxxxx Xxxxxxxx, Vice President Printed of Enterprise Administration Name and & Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx February 8, 2021 Date FUJITSU COMPUTER PRODUCTS OF AMERICA, INC. 0000 Xxxx Xxxxxx Xxxxxx, Xxxxxxxxx, XX 00000 616Telephone: (000) 000-7720000 Fax: (000) 000-1790 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 0000 February 11, 2021 To whom it may concern, Fujitsu Computer Products of America, Inc.’s (ESC8“FCPA”) IS GOVERNED BY TEXAS GOVERNMENT CODEsuite of products revolves around imaging scanners that include workgroup, CHAPTER 552 departmental and production models. This letter confirms that as of the date of this letter, Toshiba America Business Solutions is an authorized reseller of FCPA imaging products. This authorization may be withdrawn in writing at any time by FCPA. Reseller Partner: Toshiba America Business Solutions 00000 Xxxxxxxxxxxx Xxxxx Xxxx Xxxxxx XX 00000 (949) 462-6000 xxx@xxxx.xxxxxxx.xxx Please contact Xxxxx Xxxx, Senior Director, Sales, if you have any questions. He may be reached at (000-000-0000 or via email at xxxxx.xxx@xxxxxxx.xxx. Very truly yours, Xxxxxxxx Xxxxxxxxx Senior Vice President- Planning, Service Operations & Logistics February 9, 2021 Re: Authorization of Toshiba America Business Solutions, Inc. To Whom It May Concern: Kodak Alaris Inc. has established and indirect channel from which consumers may purchase Kodak Alaris Information Management products and services through authorized resellers. Toshiba America Business Solutions, Inc., is authorized to resell Kodak Alaris Information Management products and services. If you consider have any portion questions or concerns regarding this information please do not hesitate to contact me. Sincerely, Controlled 000 XXXXXXXX XXXXXXXXX, XXXXXXXXXXX, XX 00000-0000 TEL 000-000-0000 FAX 000-000-0000 BROTHER INTERNATIONAL CORPORATION September 24, 0000 Xxxxxxx Xxxxxxx Business Solutions 00000 Xxxxxxxxxxxx Xx. Xxxx Xxxxxx, XX 00000 Re: Letter of your proposal Authorization To Whom it May Concern: This letter shall confirm that Toshiba America Business Solutions, headquartered at 00000 Xxxxxxxxxxxx Xx., Xxxx Xxxxxx, XX 00000, is currently authorized to be confidential resell Brother Products within the United States of America. Any additional information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s)needed please contact Xxxxx Xxxxxxxx at 000-000-0000. Sincerely, you must attach a copy Xxx Xxxxxxxx Vice President of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scanSales Brother International Corporation 000 Xxxxxxxx Xxxxxxxxx Xxxxxxxxxxx, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information XX 00000-0000 xxx.xxxxxxx.xxx HP Inc. 000 Xxxx Xxxx Xxxx Xxxx Xxxx, XX 00000 XXX xx.xxx July 29, 0000 Xxxxxxx Xxxxxxx Business Solutions, Inc. 00000 Xxxxxxxxxxxx Xx Xxxx Xxxxxx Xxxxxxxxxx 00000 To whom it may concern: Toshiba America Business Solutions, Inc. is an HP Authorized Partner in the submitted proposal. The copy uploaded is US, which includes access to indicate which material in your proposalall commercial products and the services associated with them – not requiring additional authorization and includes all Open products from an authorized HP US Commercial Distributor, if any, you deem confidential for resale to end user customers in the event USA. Toshiba America Business Solutions, Inc. holds the receives following additional authorizations: PM US Qualified Print Partner Program US Qualified Supplies Partner Program HP US Agent Addendum US Public Sector Fulfillment Entity Addendum Toshiba America Business Solutions, Inc. has been an HP ServiceOne Printing & Personal Systems (PPS) Delivery Partner since 10/22/2009 HP ServiceOne Printing & Personal Systems (PPS) Delivery Partners are authorized to deliver warranty and HP Care Pack Services on HP Personal Systems (such as HP Business PCs or HP Commercial Notebooks) and HP Imaging & Printing products (such as HP LaserJet shared printers or HP DesignJet large format printing) provided that the technicians performing the Services hold the appropriate service qualification. HP Point of Contact for Partner Authorization verification is listed below: xx.xxxxxxxxxxxxxxxxx@xx.xxx/ 0-000-000-0000 Opt. 2, 3 or 4 Customers can also locate or confirm partners through the HP Partner Locator at xxxx://xxx0.xx.xxx/us/en/store-finder/xxxxx.xx Sincerely, Xxxxxxxxx Xxxxxx HP Inc. North American Contracts Lead January 11, 0000 Xxxxxxx Xxxxxxx Business Solutions 00000 Xxxxxxxxxxxx Xxxxx Xxxx Xxxxxx, XX 00000 To all parties of interest, Toshiba America Business Solutions is an authorized strategic global distributor for XXX products. Toshiba America Business Solutions commitment to high service standards and the continued support of XXX product technologies is a Public Information Request.) ESC8 significant value to a customer’s purchasing decision. Our highest priority is customer satisfaction as it relates to the use and TIPS will follow procedures of controlling statute(s) overall customer experience regarding any claim of confidentiality and shall not XXX products. It would be liable our pleasure to discuss Toshiba America Business Solutions tenured experience supporting XXX technology. Please contact Xxxxx Xxxxx or Xxxxxxx Xxxxx for any release of additional information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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 PROPOSALrequired. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature DateXxxxx Assistant to Vice President of Sales North America 00000 00 Xxxx Xxxx Xxxx, XX 00000 Phone: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2(800) 252−6793 Email: I DO NOT CLAIM any xxxxxx@xxxxxxxxxx.xxx Xxxxx Xxxxx XXX Customer Care Center Manager 00000 00 Xxxx Xxxx Xxxx, XX 00000 Phone: (800) 252−6793 Email: xxxxxx@xxxxxxxxxx.xxx Best Regards, Xxx Xxxx Vice President of my proposal Sales − North America September 16, 2020 Manufacturer Letter of Authorization Lexmark International, Inc. hereby certifies that Toshiba America Business Solutions, Inc. is a reseller of Lexmark products and is authorized to be confidentialsell all such products. Lexmark International, complete Inc. Toshiba America Business Solutions, Inc. Manufacturer Name of Reseller 000 Xxxx Xxx Xxxxxx Xxxx 00000 Xxxxxxxxxxxx Xx. Xxxxxxxxx, XX 00000 Xxxx Xxxxxx, XX 00000 Xxxxx Xxxxx National Sales Director Education & Government (SLED) Lexmark International, Inc. 000 Xxxx Xxx Xxxxxx Xxxx Xxxxxxxxx, XX 00000 Product/Services Brochures Summary RFP 210101 Technology Products & Services Toshiba has presented below links to brochures for the section below.products being proposed. Toshiba Managed Print Services xxxx://xxxxxxxx.xxxxxxx.xxx/services/managed-print/#assessments Toshiba Barcode Scanners/Printers xxxx://xxxxxxxx.xxxxxxx.xxx/products/printers/printers.html#all Brother Printer Brochures xxxxx://xxx.xxxxxxx-xxx.xxx/home/printers-fax Hewlett-Packard Printer Brochures xxxxx://xxx0.xx.xxx/h20195/v2/Library.aspx?doctype=4&filter_doctype=no&filter_cc=no&filter_coun try=no&filter_doclang=no&country=&lc=en&cc=us#doctype-4&sortorder-revision_date&searchword- XXX Product Brochures xxxxx://xxx.xxx.com/index.php Lexmark Printer Brochures xxxxx://xxx.xxxxxxx.xxx/en_us/products.html Brother Scanner Brochures xxxxx://xxx.xxxxxxx-xxx.xxx/home/scanners Fujitsu Scanner Brochures xxxxx://xxx.xxxxxxx.xxx/us/products/computing/peripheral/scanners/ Kodak Alaris Scanner Brochures xxxxx://xxx.xxxxxxxxxxx.xxx/en-us/solutions/document-scanners Docufree Brochure xxxxx://xxx.xxxxxxxx.xxx DocuWare Brochure xxxxx://xxxxx.xxxxxxxx.xxx/platform Drivve Brochure xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx/products/drivve-products/ Elatec Brochure xxxxx://xxx.xxxxxx-xxxx.xxx/en-us/data-sheets FlashGrade Brochure xxxxx://xxx.xxxxxxxxxx.xxx/index.html PaperCut Brochure xxxxx://xxx.xxxxxxxx.xxx/products/#overview Pharos Brochure xxxxx://xxxxxx.xxx/print-management-software/ PrinterLogic Brochure xxxxx://xxx.xxxxxxxxxxxx.xxx/ Psigen Brochure xxxxx://xxx.xxxxxx.xxx/ XMedius Brochure

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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 210103 Required Confidential Information Status Form Xxxxxxx XxxxxxxxSuifian Munir Inc. dba Xxxxx Business Machines Name of company Xxxxxx Xxxxx, Vice President CEO Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx 0000 Xxxxxxx XX Xxxx Xxx Xxxxx XXXX 00000 616880000-772-999922-1790 -55227799 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 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR 2/19/2021 OPTION 2: OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: 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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 210101 210102 Required Confidential Information Status Form Xxxxxxx XxxxxxxxFIZUAS (Fix In A Zip, LLC) Name of company Xxxxxxxxxxx Xxxxxxx, Vice President / Owner Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 6162306 FM 1585, Lubbock, Texas 79423 585-772781-1790 0893 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' 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 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 TIPS RFP # 210305 SymbioteCERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, Inc. THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: Art In History (Name of company Required Confidential Information Status Form Corporation) Xxxx Xxxxxxx Xxxxxxxx, Vice President Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx XX 00000 616-772-1790 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal certify 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 am the Secretary of the enclosed materialsCorporation 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 CEO (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. 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 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2: 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 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 DocuSign Envelope ID: B75C3564-2A74-43B9-9A3F-2E42069EFAD3 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: Avaya Inc. (Name of Corporation) Xxxxxxx Xxxxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxx (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 Area Sales Leader (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 February 10, 2021 | 6:26 AM PST DATE DocuSign Envelope ID: 2AF38578-17BA-447E-AC32-D0C6CFFB9A25 TIPS RFP # 210305 Symbiote, Inc. Name of company 210101 Required Confidential Information Status Form Avaya Inc. Name of company Xxxxxxx XxxxxxxxXxxx, Vice President Area Sales Leader Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxx Xxxxxxx, Xxxxx 000 X. Xxxxxxxxxx Xx Xxxxxxx Xxxxxx XX 00000 616713-772852-1790 1161 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 3 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 February 10, 2021 | 9:45 AM EST Signature Date: 2021.04.13 12:57:58 -04'00' Date OR OPTION 2: 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 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 TIPS RFP # 210305 Symbiote, Inc. Name of company 210101 210102 Required Confidential Information Status Form Xxxxxxx XxxxxxxxFIZUAS (Fix In A Zip, LLC) Name of company Xxxxxxxxxxx Xxxxxxx, Vice President / Owner Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X. Xxxxxxxxxx Xx Xxxxxxx 0000 XX 0000, Xxxxxxx, Xxxxx 00000 616585-772781-1790 0893 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF 88 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. Xxxxxxx Xxxxxxxx Digitally signed by Xxxxxxx Xxxxxxxx 13.April.2021 Signature Date: 2021.04.13 12:57:58 -04'00' 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

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