TIPS REFERENCE FORM. All requested information must be typed and uploaded in Excel format. TIPS will reach out via the emails provided so please ensure that they are typed and accurate. Do not handwrite or upload in any format other than Excel. Emails provided must be current and active. Do not include TIPS/Region 8 employees as a reference. The entities that you provide must be paying customers, not affiliates/partners/manufacturers/resellers, etc. You must provide below at least five (5) references from five different entity customers, preferably government or non-profit entities, who have purchased goods or services from your vendor entity within the last three years. Customer Entity Name Customer Contact Name ▇▇▇▇▇ Contact Email Valid Contact Phone Mahopac Central School Distirct Director ▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇ 845-621-6610 ext. 13975 ▇▇▇▇▇▇ Valley Central School District Director ▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇▇ Engineering ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇.▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Briarcliff School District Director ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ City School District of the City of New ▇▇▇▇▇▇▇▇ Director ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Village of Ossining ▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ Peekskill City School District Director ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 914-737-3300 ext. 3801 Westchester Community College Director ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇.▇▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ SUNY Purchase College Director ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇.▇▇▇▇▇@▇▇▇▇▇▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ LeChase Group ▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇.▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ (VENDOR MUST COMPLETE THE FOLLOWING VENDOR INFORMATION) Vendor Entity Name: ▇▇▇▇▇▇▇▇ CORP. Vendor Authorized Signatory Name: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇ Vendor Authorized Signatory Title: PRESIDENT Vendor Authorized Signatory Email: ▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Vendor Address: ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, SUITE 2B City: City: H_ ▇▇▇▇▇▇▇ State: NY_ Zip Code: 10528 State: Zip Code: Vendor agrees that it is voluntarily providing its data (including but not limited to: Vendor information, Vendor documentati on, Vendor’s Vendor agrees that it is volunt ly providing its data (including but not limited to: Vendor information, Vendor documentation ndor’s proposal, Vendor pricing submitted or provided to TIPS, TIPS contract documents, TIPS correspondence, Vendor logos and images, Vendor’s contact information, Vendor’s brochures and commercial information, Vendor’s financial information, Vendor’s certifications, and any other Vendor information or documentation submitted to TIPS by Vendor an d its agents) ( Hereinafter, “Vendor Data”) to TIPS. Vendor understands and agrees that TIPS is a government entity subject to public information laws including but not limited to Texas Government Code (TGC) Chapter 552. Vendor agrees that regardless of confide ntiality designations herein, Vendor’s submission of a proposal constitutes Vendor’s consent to the disclosure and release of Vendor’s Data and comprehensive proposal including any information deemed confidential or proprietary herein, to and by TIPS Members. propo al, Vendor pricing ubmitted o provided TIPS TIPS contract documents, TIPS correspondence, Vendor logos and images, Vend r’s contact informat n, Vendor’s b ochures and commercial information, Vendor’s financial information, Vendor’s certifications, a d any other Vendor informa ion or documentation s o TIPS by Vendor and its agents) (Hereinaf er, “Vendor Data”) to TIPS. Vendor understands and agrees that TIPS is a government e ity subj to ublic information law including but not limited to Texas Go nment Code (TGC) Chapter 552. Vendor agrees that regardless of co fidentiality designations herein, V ndor’s ubmissi f sa titut V d s cons h disclosure and release f Vendo ’s Data and com ehensiv roposal, including ny inform tion ee ed confi ential o propr etary h rein, to and by TIPS M be Notwithstanding the foregoing permissible release to TIPS Members, if Vendor considers any portion of Vendor’s proposal to be otherwise confidential and not subject to public disclosure pursuant to public information laws including but not limited to TG C Chapter 552, Vendor must properly execute below, attach to this PDF all documents and information that Vendor deems Notwithstanding he for going permissibl l TIPS Members, if Vendor co ▇▇▇▇▇▇ any portion of Vendor’s proposal to be therwise con ide tial and ot subject to ublic dis l sure pu su nt to public inf rmation laws, including but not limited to TGC Chapter 552, Vendo must prop ly ex Opt n 1 o ly below, attach to thi PDF all do nt d information that V dor de confidential, and upload the consolidated documentation . Regardless of the Option selected below, this form must be completed and uploaded to the “Response Attachments” section of the eBid System entitled “Required Confidentiality Claim Form.” Execution and submission of this form is the sole indicator of whether Vendor considers any Vendor Data confidentia l in the event TIPS receives a request, a Public Information Request or subpoena . If TIPS receives a request, any responsive documentation not deemed confidential by you through proper execution of Option 1 of this form will be automatically released. Fo r information deemed confidential by you through proper execution of Option 1 of this form , TIPS will follow procedures of controlling statute(s) regarding withholding that documentation and shall not be liable for any release of information required by la w, including Attorney General opinion or court order. nfidential, and upload the co solidated doc m tation. Regardless of the Option selected below, this orm must be ompleted and uploa ed the “Respon A hments” section of the eBid yst entitled “Required Confidentiality Claim Fo .” Execution and submi of this form is th e indicator of whether Vendo ▇▇▇▇▇▇ any Vendor Data confidential in the event TIPS receives a request, a Public Information Request, or subpoena. If TIPS receives a request, any responsive do entation not deemed confidential by you through proper execution of Opti o this form will be automatically r le ed. Fo informatio deemed confidential by you through prop Option 1 of this form, TIPS will follo p dures of controlling statute(s) rdin withholding that documentation and shall not be liable for any release of information required by law, including Attorney General opinion or court order. ( ( ENDOR MUST COMPLETE ONE OF THE TWO OPTIONS AND UPLOAD IN THE EBID SYSTEM) OPTION 1 – DESIGNATING CONFIDENTIAL MATERIALS – YES, VENDOR HAS TTACHED CONFIDENTIAL MATERIALS ION 2 – WAIV OF C NFIDENTIALITY – NO, VENDOR HAS NOT ATTACHED CONFIDENTIAL MATERIALS ( )
Appears in 2 contracts
Sources: Vendor Agreement, Vendor Agreement