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.
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NO Please provide three (3) references, preferably from school districts or other governmental entities who have used your servi the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Arlington ISD Xxxxx Xxxxxxxx xxxxxxxx@xxxx.xxx (000) 000-0000 Clear Creek ISD Xxxxx Xxxxx XXXXXX@xxxxx.xxx 281-284-0000 Northside ISD Xxxxx Xxx xxxxx.xxx@xxxx.xxx (000)000-0000 TIPS RFP # Required Confidential Information Status Form Name of company Printed Name and Title of authorized company officer declaring below the confidential status of material Address City State ZIP Phone LL 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.
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. ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDWRITE REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Cameron County Xxxxxxx Xxxxxx xxxxxxx@xx.xxxxxxx.xx.xx 000-000-0000 Laredo Community College Xxxxx Xxxx xxxxx@xxxxxx.xxx 000-000-0000 Weslaco ISD Xxxxxxx Xxxxx xxxxxxx@xxxx.xx 000-000-0000 Southwest Texas Junior College Xxxxx X. Xxxxxxxx, Xx. xxxxxxxxxx0000@xxxxx.xxx 000-000-0000 THIS CERTIFIES THAT Xxxxx X. Xxxxxxxxx, Inc. * Nationally certified by the: HOUSTON MINORITY SUPPLIER DEVELOPMENT COUNCIL *NAICS Code(s): 221122; 541690; 541330 * Description of their product/services as defined by the North American Industry Classification System (NAICS) 09/29/2020 Issued Date HS04241 Certificate Number Xxxxxxxx Xxxxxxx 09/30/2021 Expiration Date Xxxxxx X. Xxxxxxxx, President By using your password (NMSDC issued only), authorized users may log into NMSDC Central to view the entire profile: xxxx://xxxxx.xxx Certify, Develop, Connect, Advocate.
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Xxxxxx ISD Xxxxx Xxxxxx xxxxxxx@xxxxxxxxx.xxx (000) 000-0000 Eagle Mountain-Saginaw ISD Xxxxx Xxxxx xxxxxx@xxx-xxx.xxx (000) 000-0000 Xxxxxx ISD Xxxxxx Xxxx xxxxxx.xxxx@xxxxxxxxx.xxx (000) 000-0000 Xxxxxx Valley ISD Xxxxxxx Xxxxxxxx xxxxxxx.xxxxxxxx@xxxxx.xxx (000) 000-0000 Northwest ISD Xxx XxXxxxx Xxx.XxXxxxx@xxxxxx.xxx (000) 000-0000 Xxxxx City ISD Xxxxx Xxxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 Waco ISD Xxxxx Xxxxxxxxx xxxxx.xxxxxxxxx@xxxxxxx.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: Metrostudy, Inc dba Zonda Intelligence (Name of Corporation) Xxxxxxx Xxxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxx Xxxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Contract 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 IGNATURE SIGNATURE June 3, 2021 DATE TIPS RFP # 210602 Required Confidential Information Status Form Metrostudy, Inc dba Zonda Intelligence Name of company Xxxxx Xxxxxxxxx, Contract Coordinator Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxxxx Xx, #000 Xxxxxxxxx XX 00000 817-251-1607 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT R...
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. TIPS RFP # 210701 Required Confidential Information Status Form Castle Branch, Inc. Name of company Printed Name and Title of authorized company officer declaring below the confidential status of material Xxxxxx Xxxxxxxxx, CFO Xxxxxxxxxx XX 00000 888-723-4263 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.
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. Supplier Information Company Name: Xxxxxx Staffing Services, LLC Contact Name: Xxxxxx Xxxxxx Address: 000 X Xxxxxx, Xxxxxx, Xxxxx 00000 Phone: Fax: Email: 000.000.0000 xxxxxxx@xxxxxxxxxxxxxx.xxx Supplier Notes By submitting your response, you certify that you are authorized to represent and bind your company. Signature
