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

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HAND Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Anchorage School District Xxxxx Xxxxxxxxx, Assistant Director xxxxxxxxx_xxxxx@xxxx00.xxx (000) 000-0000 Bethel School District Xxxxxxx Xxxxx, Support Specialist xxxxxx@xxxxxxxx.xxx (000) 000-0000 Xxxxxxx County Public Schools Xxxxxxx Xxxxxxx, Related Services Agency Liaison xxxxxxxx@xxxxx.xxx (000) 000-0000 Juneau Borough School District Xxxxxx Xxxxx, Special Education xxxxxx.xxxxx@xxxxxxxxxxxxx.xxx (000) 000-0000 CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: AMN Allied Services, LLC (Name of Corporation) Xxxxxxxx Xxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Bid 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 11/17/2021 DATE TIPS RFP # 211002 Required Confidential Information Status Form AMN Allied Services, LLC Name of company Xxxxxxx Xxxxxxxx, Bid Manager Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 X. 000xx Xxx., Xxx. 000 Broomfield CO 80021 800.236.8038 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure.

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HAND N Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within se the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Anchorage School District Xxxxx Xxxxxxxxx, Assistant Director xxxxxxxxx_xxxxx@xxxx00.xxx Marlington Local Schools Xxxx Xxxxxxxxx x_xxxxxxxxx@xxxxxxxxxxxxxxx.xxx (000) 000-0000 Bethel School District Xxxxxxx North Canton City Schools Xxxx Xxxxx, Support Specialist xxxxxx@xxxxxxxx.xxx Business Director xxx0xx@xxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Xxxxxxx County Public Local Schools Xxxxx Xxxxxxx Xxxxxxx, Related Services Agency Liaison xxxxxxxx@xxxxx.xxx xxxxx.xxxxxxx@xxxxxxxxxxxxxx.xxx (000) 000-0000 Juneau Borough School District Xxxxxx Xxxxx, Special Education xxxxxx.xxxxx@xxxxxxxxxxxxx.xxx (000) 000-0000 CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: AMN Allied Services, LLC (Name of Corporation) Xxxxxxxx Xxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Bid 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 11/17/2021 DATE TIPS RFP # 211002 210601 Required Confidential Information Status Form AMN Allied ServicesJuice Technologies Inc., LLC dba Plug Smart Name of company Xxxxxxx XxxxxxxxXxxx Xxxxxx, Bid Manager Director of Project Development Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 X. 000xx Xxx000 Xxxxxxxx Xxxxx Xxxx., Xxx. 000 Broomfield CO 80021 800.236.8038 Xxx X Xxxxxxxxxxx OH 00000 (000) 000-0000 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure.

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HAND N Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within se the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Anchorage School District Xxxxx XxxxxxxxxISD Xxxxxxx Xxxxx, Assistant Director xxxxxxxxx_xxxxx@xxxx00.xxx M. Ed. xxxxxxx.xxxxx@xxxxxxxx.xxx (000) 000-0000 Bethel School District Xxxxxxx Xxxxx, Support Specialist xxxxxx@xxxxxxxx.xxx (Xxxxxx ISD Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx.xxx 000) -000-0000 Valley View ISD Xx. Xxxxxxx County Public Schools Xxxxxxx Xxxxxxx, Related Services Agency Liaison xxxxxxxx@xxxxx.xxx (X. Meyers xxxxxxxx@xxxxxxxx.xxx 000) -000-0000 Juneau Borough School District Xxxxxx XxxxxINSTITUTO HEALTH SCIENCE CAREER ACADE Xxxxx Xxxxxx, Special Education xxxxxx.xxxxx@xxxxxxxxxxxxx.xxx (Ed.D. x.xxxxxx@xxxx.xxx 000) -000-0000 CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: AMN Allied ServicesXxxxxx & Associates, LLC Inc. DBA AC Language School (Name of Corporation) Xxxxxxxx Xxxx X. Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxxxxxx Angeles Xxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Bid Manager President (Title/Position of person signing proposal/offer document within the corporation) CORPORATE SEAL of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 11/17/2021 01/07/2022 SIGNATURE 0 /07/2022 DATE TIPS RFP # 211002 Required Confidential Information Status Form AMN Allied ServicesXxxxxx & Associates, LLC Name Inc. DBA AC Language School N a m e of company Xxxxxxx Xxxxxxxx, Bid Manager Printed Name c o m p a n y N of p y P r in t e d N a m e and Title of authorized aut P int d N d Title of u horized company officer declaring below the confidential status of material 00000 X. 000xx Xxx., 000 Xxxxxxx Xxx. 000 Broomfield CO 80021 800.236.8038 Sugar Land TX 77498 832-588-7762 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure.. ALL VENDORS MUST COMPLETE ONE OF THE TWO OPTIONS BELOW. OPTION 1: I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date OR OPTION 2: I DO NOT CLAIM any of my proposal to be confidential, complete the section below. si r e to expressly waive a t h e c o m procure m

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HAND HANDWRITE Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Anchorage School District Portland Public Schools Xxxxxxx Xxxxx Xxxxxxxxx, Assistant Director xxxxxxxxx_xxxxx@xxxx00.xxx xxxxxx@xxx.xxx (000) 000-0000 Bethel School District Stamford Public Schools Xxxxxxx Xxxxx, Support Specialist xxxxxx@xxxxxxxx.xxx Xxxxx XXxxxx@xxxxxxxxxx.xxx (000) 000-0000 Schertz-Cibolo-Universal City Independent School District Xxxxxxxxx Xxxxxxx County Public Schools Xxxxxxx Xxxxxxx, Related Services Agency Liaison xxxxxxxx@xxxxx.xxx xxxxxxxx@xxxx.xxxx.xxx (000) 000-0000 Juneau Borough School District Xxxxxx Xxxxx, Special Education xxxxxx.xxxxx@xxxxxxxxxxxxx.xxx The Parent Project Xxxxx Xxx xxxxxx@xxxxxxxxxxxxx.xxx (000) 000-0000 CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: AMN Allied Services, LLC University of Wisconsin Population Health Institute Xxxxx Xxxxxx xxxxxxx0@xxxx.xxx New Hampshire Department of Education Bureau of Special Education Xxxxxxxx Xxxxxx Xxxxxxxx.Xxxxxx@xxx.xx.xxx Wisconsin Department of Public Instruction Xxxxx Xxxxxxx xxxxx.xxxxxxx@xxx.xx.xxx (Name of Corporation000) Xxxxxxxx Xxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Bid 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 11/17/2021 DATE 000-0000 TIPS RFP # 211002 Required Confidential Information Status Form AMN Allied Idea Language Services, LLC Name of company Xxxxxxx Xxxxxxxx, Bid Manager Xxxxxx Xxxxxxxxx - Director Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxx Xxxxx Xxxxxxxxxxx XX 00000 X. 000xx Xxx., Xxx. 000 Broomfield CO 80021 800.236.8038 860-781-6377 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.

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HAND HA Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within w the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Anchorage XX Xxxxxx Elementary School District Xxxxx Xxxxxxxxx(Jefferson County, Assistant Director xxxxxxxxx_xxxxx@xxxx00.xxx WV) Xxxxxxx Xxxxxx xxxxxxx@x00.xx.xx 304- 728 - 7250 Bellington Middle School (Xxxxxxx County, WV) Xxxx Xxxx Xxxxxxxx xxxxxxxxx@x00.xx.xx 000) -000-0000 Bethel Xxxxxx County School District Title (Xxxxxx County, WV) Xxxxxxx Xxxxx, Support Specialist xxxxxx@xxxxxxxx.xxx (Xxxx Xxxxxx xxxxxxx@x00.xx.xx 000) -000-0000 Xxxxxxx County Public Schools Title (Xxxxxxx XxxxxxxXxxxx, Related Services Agency Liaison xxxxxxxx@xxxxx.xxx (000WV) Xxxxx Xxxxx xxxxxxx@x00.xx.xx 000-0000 Juneau Borough School District Xxxxxx Xxxxx, Special Education xxxxxx.xxxxx@xxxxxxxxxxxxx.xxx (000) 000-0000 CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: AMN Allied Services, LLC Xxxxxx’x Consulting (Name of Corporation) Xxxxxxxx Xxxx Xxxxxx Xxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxxxxxx Xxxxxx Xxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Bid Manager President and CEO (Title/Position of person signing proposal/offer document within the corporation) CORPORATE SEAL if avail of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available ilable SIGNATURE 11/17/2021 SIGNATURE 06/10/2021 DATE TIPS RFP # 211002 210602 Required Confidential Information Status Form AMN Allied Services, LLC Xxxxxx’x Consulting Name of company Xxxxxxx Xxxxxxxx, Bid Manager Xxxxxx Xxxxxx - President and CEO 974 Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxxxxxx Xx Xxxxxxxxx XX 00000 X. 000xx Xxx., Xxx. 000 Broomfield CO 80021 800.236.8038 304-320-9 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure.

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HAND HANDWRI Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Anchorage School District Xxxxx Xxxxxxxxx, Assistant Director xxxxxxxxx_xxxxx@xxxx00.xxx (State of Washington – DSHS Xxxx XxXxxxx xxxx.xxxxxxx@xxxx.xx.xxx 000) -000-0000 Bethel School District Xxxxxxx Xxxxx, Support Specialist xxxxxx@xxxxxxxx.xxx (Albuquerque Public Schools Xxxxx Xxxx xxxxx.xxxx@xxx.xxx 000) -000-0000 Xxxxxxx County Public Schools Xxxxxxx Xxxxxxx, Related Services Agency Liaison xxxxxxxx@xxxxx.xxx (x Northside Independent School District Xxxxxxxxx Xxxxx xxxxxxxxx.xxxxx@xxxx.xxx 000) -000-0000 Juneau Borough School District Xxxxxx Xxxxx, Special Education xxxxxx.xxxxx@xxxxxxxxxxxxx.xxx City of Columbus (OH) Xxxxx Xxxxx xxxxxxx@xxxxxxxx.xxx 000) -000-0000 80072 CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: AMN Allied Services, LLC 000 xxxxxxxxxxxx xxx. (Name of Corporation) Xxxxxxxx Xxxx Xxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxx Xxxxxxx Xxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Bid Manager President and 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. CORPORATE SEAL if available SIGNATURE 11/17/2021 November 16, 2021 DATE TIPS RFP # 211002 Required Confidential Information Status Form AMN Allied Services, LLC 911 Interpreters Inc. Name of company Xxxx Xxxxxxx Xxxxxxxx, Bid Manager / President and CEO Printed Name and Title of authorized company officer declaring below the confidential status of material 000 X Xxxxxxxx Xxxxxx, Xxxxx 0000 Xxxxxxx XX 00000 X. 000xx Xxx., Xxx. 000 Broomfield CO 80021 800.236.8038 866-810-0911 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure.

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HAND Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within you the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Anchorage Lexington School District Xxxxx Xxxxxxxxx, Assistant Director xxxxxxxxx_xxxxx@xxxx00.xxx (Xxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx0.xxx xxxxx.xxxx@xxxxx.xxxx.xxx xxxxxxxxxxxxxx@xxxxxxxxxx.xxx xxxxxxxx@xxxxxxxx.xxx 000) -000-0000 Bethel School District Xxxxxxx Xxxxx, Support Specialist xxxxxx@xxxxxxxx.xxx (Community College Xxxxx Xxxx 000) -000-0000 Xxxxxxx County Public Schools Florida Xxxxxxx Xxxxxxx, Related Services Agency Liaison xxxxxxxx@xxxxx.xxx (Xxxxxxx 000) -000-0000 Juneau Borough School District Xxxxxx XxxxxMetra Rail, Special Education xxxxxx.xxxxx@xxxxxxxxxxxxx.xxx (Chicago IL Xxxxxxxx Xxxxxxx 000) -000-0000 CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: AMN Allied Services, LLC (Name of Corporation) Xxxxxxxx Xxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Bid 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 11/17/2021 DATE TIPS RFP # 211002 210701 Required Confidential Information Status Form AMN Allied ServicesAzura Investigations, LLC Name of company Xxxxxxx Xxxxxxxx, Bid Manager Xxxxxx-Managing Director Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 X. 000xx Xxx., Xxx. 000 Broomfield CO 80021 800.236.8038 XX Xxx 0000 Xxxxx Xxxx XX 87567 505-395-7712 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure.

INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HAND HA Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within wi the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Anchorage School District Xxxxx Xxxxxxxxx, Assistant Director xxxxxxxxx_xxxxx@xxxx00.xxx (Xxxxxxxx ISD Xxxxxxx Xxxxxxx xxxxxxx.xxxxxxx@xxxxxxxx.xxx 000) -000-0000 Bethel School District Xxxxxxx Xxxxx, Support Specialist xxxxxx@xxxxxxxx.xxx (La Joya ISD Xxxxxx X. Xxxxxx x.xxxxxx@xxxxxxxxx.xxx 000) -000-0000 Xxxxxxx County Public Schools Xxxxxxx Xxxxxxx, Related Services Agency Liaison xxxxxxxx@xxxxx.xxx (000) Xxxxx-San Xxxx-Alamo ISD Xxxxx Xxxxx xxxxx.xxxxx@xxxxxxx.xx 000-0000 Juneau Borough School District Xxxxxx Xxxxx, Special Education xxxxxx.xxxxx@xxxxxxxxxxxxx.xxx (000) 000-0000 CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: AMN Allied Services, LLC Teacher's Discovery (Name of Corporation) Xxxxxxxx Xxxx Xxxxxx Xxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxx Xxxxxxx Xxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Bid Manager Bids Coordinator (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 11/17/2021 11/10/2021 DATE TIPS RFP # 211002 Required Confidential Information Status Form AMN Allied Services, LLC Name of company Xxxxxxx Xxxxxxxx, Bid Manager Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 X. 000xx Xxx., Xxx. 000 Broomfield CO 80021 800.236.8038 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure.211002