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. Exhibit B REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services 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 University of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (000) 000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (000) 000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 2 contracts

Samples: Vendor Agreement, 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 TlPS 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. Exhibit B 9 2 REFERENCES Energy Optimizers, USA Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University of Arkansas Medical Sciences Noble Local Schools Xxx Xxxxxxxxxxx, Superintendent xxx.xxxxxxxxxxx@xxxxxx.xxx 740-732-2084 Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (Local Schools Dr. Xxxx Xxxxxx, Superintendent xxxxxxx@xxxxxxxx.xxx 937-452-1283 Kettering City Schools Xxx Xxxxxx, Director of Operations xxx.xxxxxx@xxxxxxxxxxxxxxxx.xxx 000) -000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (000) 000Centerville City Schools Xxx Xxxxxx, Business Manager xxx.xxxxxx@xxxxxxxxxxx.x00.xx.xx 937-0000 University of Houston - Clear Lake 433-8841 Fort Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Local Schools Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidentialXxxxxxxxx Xxxxxxxx, complete the section below.Superintendent xxxxxxxxx.xxxxxxxx@xxxxxxxx.xxx 740-984-2497 Oak Hills Local Schools Xxxxx Xxxx, Treasurer xxxx_x@xxxxx.xxx 513-574-3200

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. Exhibit B 9 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University Humble ISD, TX Xxxxx Xxxxxx, Director of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (Student Wellness xxxxx.xxxxxx@xxxxxxxxx.xxx 000) -000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (Littleton Public School, CO Xxxx Xxxxxxxx, Director of Social, Emotional & Behavior Services xxxxxxxxx@xxx.x00.xx.xx 000) -000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000Des Moines Public Schools, IA Xxxxxx Xxxxxxxxxxx, Curriculum Director, Physical Education and Health xxxxxx.xxxxxxxxxxx@xxxxxxxxx.xxx 000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - ChicagoIrving ISD, IL TX Xxxxx Xxxxx xxxxx@0000.xxx (Xxxxxxx, Health and Physical Educator Coordinator XXxxxxxx@xxxxxxxxx.xxx 000) -000-0000 St. Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (School District #303, IL Will Xxxxx, XX and Health Lead for Elementary xxxxxxx.xxxxx@x000.xxx 000) -000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (Cincinnati Public Schools, OH Xxxxxxxxx Xxxx, Curriculum Director xxxxxxx@xxxxxx.x00.xx.xx 000) -000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (IDEA Public Schools, TX Xxxx Xxxxxxx, PE, Health, Athletics Coordinator Xxxx.Xxxxxxx@xxxxxxxxxxxxxxxxx.xxx 000) -000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 TIPS RFP # 210101 Required Confidential Information Status Form Interactive Health Technologies Name of company Xxx Xxxxxx, President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 X. 00xx Xx #000 Xxxxxx, XX 00000 512-848-8044 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE ABOVE SECTIONTWO OPTIONS BELOW. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date 9/21/2020 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. Exhibit B 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (Aldine ISD Xxxxxxxx Xxxxxxxx crnicholas@aldine.k12,xx.xx 000) -000-0000 Little Rock School District Xxxxxx Cypress-Fairbanks ISD Xxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (xxx.xxxxxxx@xxxxx.xxx 000) -000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000Dallas ISD Xxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx.xxx 000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Fort Worth ISD Xxxxx Xxxxx xxxxx@0000.xxx (Xxxx xxxxx.xxxx@xxxxx.xxx 000) -000-0000 Xxxxxxx University Katy ISD Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (xxxxxxxxxxxxxx@xxxxxxx.xxx 000) -000-0000 Illinois State University Xxxx North East ISD Xxxxx xxxxxxx@xxxxx.xxx (Xxxxxxxx xxxxxx@xxxxx.xxx 000) -000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (Frisco ISD Xxxxxxxx Xxxxxxx xxxxxxxx@xxxxxxxxx.xxx 000) -000-0000 19th Judicial Circuit Court Lake County, I Xxxx Austin ISD Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (Xxxxxxxxx xxxxxxx.xxxxxxxxx@xxxxxxxxx.xxx 000) -000-0000 KSU Garland ISD Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (xxxxxxxx@xxxxxxxxxx.xxx 000) -000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000Round Rock ISD Xxxxx Xxxxx xxxxx_xxxxx@xxxxxxxxxxxx.xxx 512-0000 464-6953 TIPS RFP # 210301 Required Confidential Information Status Form Cengage Learning, Inc. Name of company Xxxxxxx X. Xxxxx, Supervisor, Textbook Services & Adoptions Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxx. Xxxxx XX 00000 800-543-0487 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE ABOVE SECTIONTWO 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 9/21/2020 3/26/2021 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. Exhibit B BrightWatch REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University of Arkansas Medical Sciences Xxxxxx Trinity Episcopal School Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxxxxx.xxx 512-472-9525 Lago Vista ISD Xxxxxxx xxxxxxxxx@xxxx.xxx Xxxxxxx xxxxxxx_xxxxxxx@xxxxxxxxx.xxxx.xxx 000-000-0000 xxx 0000 Cameron County Xxxx Xxxxxxx j xxx.xxxxxxx@xx.xxxxxxx.tx.us (000) 000-0000 Little Rock School District White Oak ISD Xxxxx Xxxxx xxxxxx@xxxxx.xxx 903.291.2220 Xxxxxx ISD Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (Xxxxxx xxxxxxx@xxxxxxxxx.xxx 000) -000-0000 University of Houston - Clear Lake Xxxxxx ISD Xxxxxxx Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000xxxxx@xxxxxxxxxx.xxx 903-0000 University of Houston - Downtown 884-2136 ext. 3677 Xxxxxxx ISD Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000Xxxxx xxxxxx@xxxxxxx.xxxx.xxx 512.859.2173 Xxxx Xxxx Catholic School Xxxxx Xxxx b xxxx@xxxxxxxxxxxxxx.xxx 361-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000855-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 5744 TIPS RFP # 210101 Required Confidential Information Status Form BrightWatch Name of company Xxxx X. Xxxxxxx, CEO Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 X.Xxxxx, Suite #110 Austin TX 78704 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE ABOVE SECTIONTWO 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 9/21/2020 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. Exhibit B 2 REFERENCES Venue Industries LLC Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w service the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone University of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (CI Group Xxxxx Xxxxxxxx xxxxxxxxx@xxx-xxxxxxx.xxx 000) -000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (Workscapes Xxxxx Pick xxxxx@xxxxxxxxxx.xxx 000) -000-0000 University of Houston - Clear Lake Interior Investments Xxxxx Xxxxxxxxx; Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) xxxxxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx; xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) -0000; 000-000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (& Co Xxxxxx Xxxxxxxx xxxxxx.xxxxxxxx@xxxxxxxxxxxx.xxx 000) -000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (WrkLab Xxxxxx Xxxxxxxxx xxxxxxxxxx@xxxxxx.xxx 000) -000-0000 City of Peoria VFW Xxxxxx Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (xxxx0@xxxxxxxx.xx.xxx 000) -000-0000 19th Judicial Circuit Court Lake County, I Ruckers Lanes Xxxxx Xxxxxx; Xxx Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (xxxxx.x.xxxxxx.naf@xxxx.xxx; xxxxxx.x.xxxx00.xxx@xxxx.xxx 000) -000-0000 KSU Xxxx HPA Design Group Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (Xxxxxx xxxxxx@xxxxxxxxxxxxxx.xxx 000) -000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (Hospitality Purchasing Group Vera Marghein xxxx@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: Venue Industries LLC (Name of Corporation) Xxxxxxx Xxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxx Xxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as President (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 12/9/20 DATE TIPS RFP # 201101 Required Confidential Information Status Form Venue Industries LLC Name of company Xxxxx Xxxxxxx, President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 X 00xx Xxxxxx, Xxx 000X, Xxxxx XX 00000 855-55 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE ABOVE SECTIONTWO 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 9/21/2020 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. Exhibit B Bid 200903: Books, Library, Educational Materials Teachers Discovery Inc. Rev. 9/23/2020 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University of Arkansas Medical Sciences Xxxxxx Anchorage School District Xxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (xxxxxxx_xxxxx@xxxx00.xxx 907-742-8621 Xxxxxxxx ISD Ryan Edgar xxxx.xxxxx@xxxxxxxx.xxx 817-245-1053 Paradise Valley USD Xxxxxxx Xxxx xxxxxx@xxxxxxxxx.xxx 000) -000-0000 Little Rock School District Loudoun County ISD Xxxxxx X. Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (xxxxxxxxxxxx@xxxx.xxx 000) -000-0000 University of Houston - Clear Lake Dallas ISD Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000Xxxxxx xxxxxxx@xxxxxxxxx.xxx 000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL La Feria ISD Xxxxxx Xxxxx Xxxxx xxxxx@0000.xxx (xxxxxx.xxxxx@xxxxxxxxxx.xxx 000) -000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (La Joya ISD Xxxxxx X. Xxxxxx x.xxxxxx@xxxxxxxxx.xxx 000) -000-0000 Illinois State University Xxxx Xxxxx-San Xxxx-Alamo ISD Xxxxx xxxxxxx@xxxxx.xxx (000) Xxxxxxxxxxxxxx xxxxx.xxxxxxxxxxxxxx@xxxxxxx.xx 956-354-2000 Brownsville ISD Xxxxx Xxxxxxxxx xxxxxxxxxxx@xxxx.xx 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.0000

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. Exhibit B 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w wit the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone University Bridgestone Firestone Xxxx Xxxxxxxxxx, CTP, VP Equipment xxxxxxxxxxxx@xxxxx.xxx Republic Services Xxxxx Xxxxxxxxxx, Sourcing Manager xxxxxxxxxxx@xxxxxxxxxxxxxxxx.xxx Prime, Inc Xxxxxx Xxx, President xxxx@xxxxxxxx.xxx Celadon Trucking Xxx Xxxxxxxxxx xxxxxxxxxxx@xxxxxxxxxxxxxxx.xxx DOT Foods Xxxxx Xxxx, Director of Arkansas Medical Sciences Fleet Maintenance xxxxx@xxxxxxxx.xxx Ryder Xxxxxx Xxxxxxxx, Director of Operations Xxxxxx_X_Xxxxxxxx@xxxxx.xxx Wal-Mart Xxx Xxxxxxx xxxxxxxxx@xxxx.xxx (000) 000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (000) 000-0000 University xxxxxx.xxxxxxx@xxx-xxxx.xxx Penske Xxxx Xxxxxxxx, Director of Houston - Clear Lake Xxxx Facilities xxxx.xxxxxxxx@xxxxxx.xxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University National Xxxxx Parent, VP of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Facilities xxxxxxx@xxxxxxxxx.xxx Maverick Transport Xxxxx University - RomeovilleXxxxxxxx, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City Director of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Real Estate and Properties xxxxxxxxx@xxxxxxxxxxx.xxx TIPS RFP # 200604 Required Confidential Information Status Form 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. Conference Technologies Inc. Xxxxxxx Systems Inc Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Xxxxx Xxxxxxxx Chief Financial Officer Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxx 0 Xxxxx Xxxxxxxxx XX 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 501-85470-9103- Address City State ZIP Phone 1847- ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 1/07/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the 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. Exhibit B 5 REFERENCES Venue Industries LLC Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (CI Group Xxxxx Xxxxxxxx xxxxxxxxx@xxx-xxxxxxx.xxx 000) -000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (Workscapes Xxxxx Pick xxxxx@xxxxxxxxxx.xxx 000) -000-0000 University of Houston - Clear Lake Interior Investments Xxxxx Xxxxxxxxx; Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) xxxxxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx; xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) -0000; 000-000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (& Co Xxxxxx Xxxxxxxx xxxxxx.xxxxxxxx@xxxxxxxxxxxx.xxx 000) -000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (WrkLab Xxxxxx Xxxxxxxxx xxxxxxxxxx@xxxxxx.xxx 000) -000-0000 City of Peoria VFW Xxxxxx Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (xxxx0@xxxxxxxx.xx.xxx 000) -000-0000 19th Judicial Circuit Court Lake County, I Ruckers Lanes Xxxxx Xxxxxx; Xxx Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (xxxxx.x.xxxxxx.naf@xxxx.xxx; xxxxxx.x.xxxx00.xxx@xxxx.xxx 000) -000-0000 KSU Xxxx HPA Design Group Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (Xxxxxx xxxxxx@xxxxxxxxxxxxxx.xxx 000) -000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (Hospitality Purchasing Group Vera Marghein xxxx@xxxxxxxxxxxxx.xxx 000) -000-0000 CERTIFICATION BY CORPORATE OFFERER IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: Venue Industries LLC (Name of Corporation) Xxxxxxx Xxxxxxx I, certify that I am the Secretary of the Corporation named as OFFERER herein above; that Xxxxxxx Xxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as President (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 04/16/2021 DATE TIPS RFP # 210305 Required Confidential Information Status Form Venue Industries LLC Name of company Xxxxx Xxxxxxx, President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 X 00xx Xxxxxx, Xxx 000X, Xxxxx XX 00000 855-558-3683 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE ABOVE SECTIONTWO 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 9/21/2020 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. Exhibit B REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services 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 University of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (000) 000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (000) 000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: ’s 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. Exhibit B TIP TAPS SCHOOL REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services 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 University of Arkansas Medical Sciences Xxxxxx Pangburn School D’xxxx Xxxx x'xxxx.xxxx@xxxxxxxxxxxxxxx.xxx 000-000-0000 England Schools Xxxx Xxxxx xxxx.xxxxx@xxxxxxx.x00.xx.xx 000-000-0000 AR School for the Blind Xxxxxxx xxxxxxxxx@xxxx.xxx (Xxxx xxxxxxx.xxxx@xxx.x00.xx.xx 000) -000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (Xxxxx xxxxxx.xxxxx@xxxx.xxx 000) -000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000Arkadelphia Public Schools Xxxxx Xxxxxx xxxxx.xxxxxx@xxxxxxxxxxxxxxxxxx.xxx 000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (Xxxxxx School District Xxxx Xxxxxxxxx xxxxxxxxxx@xxxxxxxxxxxxx.xxx 000) -000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (Palestine-Xxxxxxxx School District Xxxxxx Xxxx xxxxx@xxxx.x00.xx.xx 000) -000-0000 Illinois State University Xxxx Springdale Public Schools Xxxxx Xxxxxx xxxxxxx@xxxxx.xxx (000) -000-0000 City of Peoria Lake Xxxxxxxx School District Xxxxxx Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (xxxxxx.xxxxx@xxxxxxxx.xxx 000) -000-0000 19th Judicial Circuit Court Lake County, I Xxxx Little Rock Christian Academy Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (Xxxxxxx Xxxxxxx.xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx 000) -000-0000 KSU 00000 Xxxxxxx Xxxxx Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx Little Rock, AR 72204 501- 228-0808 General Warranty Terms AIMCO Equipment Company, LLC (000AIMCO) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODEwarrants that all equipment and supplies sold to Tips Members shall be in “new” condition as supplied/packaged per manufacturer. Carrying the standard warranty, 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 the terms and conditions of each manufacturer. Service / installation work provided by AIMCO will carry a copy warranty period of all claimed confidential materials within your proposal 30 days labor 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 Request60 days parts from date of purchase.) 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS TlPS 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. Exhibit B REFERENCES Please 2 VIRAHealth, a division of VIRA Insight, LLC 000 Xxxxxxxx Xxxxx, Xxxxx 000 Xxxxxxx, XX 00000 References We are pleased to be able to provide three (3) referencesyou with a list of school districts, preferably from school districts or other governmental entities who companies, and municipalities with whom we have used your services w the last three yearsconducted business relating to PPE, Shielding, & Safety Supplies. Additional references may be requiredDon’t hesitate to reach out if you have any questions. 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 University Companies/Municipalities East Ramapo Central School District Xxxxxxxx Xxxxxx Purchasing Supervisor 000 Xxxxx Xxxxxxx Xxxxxx Xxxxxx Xxxxxx, XX 00000 845-577-6076 xxxxxxx@xxxxx.xxx Mendham Township School District Xxxxxxxxx X. Xxxxxxxxxxx, Ed.D. Superintendent of Arkansas Medical Sciences Schools 00 Xxxx Xxxx Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (Xxxxxxxxx, XX 00000 Email: xxxxxxxxxxxx@xxxxxxxxxx.xxx 000) -000-0000 Little Rock Xxxxxx Plains School District Xxxxxxxxx Xxxxxxx Business Administrator/Board Secretary 000 Xxxxxxxxx Xxx, Xxxxx 000| Xxxxxx Xxxxxx, NJ 07950 T: 973.531.9513 | F: 973.540.1983 | xxxxxxxx@xxxxx0.xxx Netcong Board of Education Xxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (Business Administrator/Board Secretary 00 Xxxxxxx Xxxx Xxxxxxx, XX 00000 xxxxxxxx@xxxxxxxxxxxxx.xxx 000) -000-0000 University x000 Kinnelon, NJ Boonton Township, NJ Orange, NJ North Xxxxxxxx, NJ Croton on the Xxxxxx, NY NORTHWESTERN MEDICINE Xxxx Xxxxxxx, MBA Strategic Sourcing Manager Strategic Sourcing Services Northwestern Memorial HealthCare 000 Xxxx Xxxxxxx, Xxxxx 000 Xxxxxxx, Xxxxxxxx 00000 312.926.8596 office xxxx.xxxxxxx@xx.xxx xxxxxxxxxxxxxxxxxxxx.xxx We supplied Covid PPE items (300,000 KN95 units). No issue with delivery. They even were concerned because they paid a deposit and didn’t know if were going to delivery. (we delivered in 2 week where all other companies were struggling to deliver) CITY OF DALLAS Xxxxxxxx Xxxxxxxx Manager III Office of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000Procurement Services 0000 Xxxxxxx, X0XX Xxxxxx, XX 00000 O: 000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago| xxxxxxxx.xxxxxxxx@xxxxxxxxxxxxxx.xxx We delivered 170,000 KN95 and donated 10,000 face xxxxxxx. XXXXXX XXXXX & WHITE Xxxxxxx Xxxx, IL MBA System Director, Supply Chain Operations Xxxxxx Xxxxx Xxxxx xxxxx@0000.xxx (and White Health Primary Office- Temple West Campus 000) -000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx Office We delivered 0X XX00 masks in 3 weeks in the beginning of the pandemic. Ryebrook, NY Babylon, NY Wayne, NJ Clifton, NJ WARRANTY STATEMENT VIRA Insight warrants its products against defects in workmanship and materials for a period of 12 months from the date of sale by VIRA Insight to its initial customer (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City regardless of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake Countyany subsequent sale of the products). This warranty is void if the product is misused, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODEaltered, CHAPTER 552 If you consider any portion of your proposal tampered with or is installed or used in a manner that is inconsistent with VIRA Insight’s written recommendations, specifications and/or instructions, or fails to be confidential information perform due to intentional damage or normal wear and tear over time. VIRA Insight is not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code liable for special, indirect, incidental, consequential or other law(s)damages including, you must attach a copy but not limited to, loss, damage, personal injury, or any other expense directly or indirectly arising from the use of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet or inability to said materials then scanuse its products either separately or in combination with other products. All other warranties express or implied, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information whether oral, written or in the submitted proposal. The copy uploaded is to indicate which material in your proposalany other form, if any, you deem confidential in the event the receives a Public Information Requestare expressly excluded.) 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the 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. Exhibit B 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w wit the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone University Bridgestone Firestone Xxxx Xxxxxxxxxx, CTP, VP Equipment xxxxxxxxxxxx@xxxxx.xxx Republic Services Xxxxx Xxxxxxxxxx, Sourcing Manager xxxxxxxxxxx@xxxxxxxxxxxxxxxx.xxx Prime, Inc Xxxxxx Xxx, President xxxx@xxxxxxxx.xxx Celadon Trucking Xxx Xxxxxxxxxx xxxxxxxxxxx@xxxxxxxxxxxxxxx.xxx DOT Foods Xxxxx Xxxx, Director of Arkansas Medical Sciences Fleet Maintenance xxxxx@xxxxxxxx.xxx Ryder Xxxxxx Xxxxxxxx, Director of Operations Xxxxxx_X_Xxxxxxxx@xxxxx.xxx Wal-Mart Xxx Xxxxxxx xxxxxxxxx@xxxx.xxx (000) 000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (000) 000-0000 University xxxxxx.xxxxxxx@xxx-xxxx.xxx Penske Xxxx Xxxxxxxx, Director of Houston - Clear Lake Xxxx Facilities xxxx.xxxxxxxx@xxxxxx.xxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University National Xxxxx Parent, VP of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Facilities xxxxxxx@xxxxxxxxx.xxx Maverick Transport Xxxxx University - RomeovilleXxxxxxxx, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City Director of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Real Estate and Properties xxxxxxxxx@xxxxxxxxxxx.xxx TIPS RFP # 200604 Required Confidential Information Status Form 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. Conference Technologies Inc. Xxxxxxx Systems Inc Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Xxxxx Xxxxxxxx Chief Financial Officer Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxx 0 Xxxxx Xxxxxxxxx XX 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 501-85470-9103- Address City State ZIP Phone 1847- ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 1/07/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the 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. Exhibit B 5 REFERENCES Venue Industries LLC Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (CI Group Xxxxx Xxxxxxxx xxxxxxxxx@xxx-xxxxxxx.xxx 000) -000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (Workscapes Xxxxx Pick xxxxx@xxxxxxxxxx.xxx 000) -000-0000 University of Houston - Clear Lake Interior Investments Xxxxx Xxxxxxxxx; Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) xxxxxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx; xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) -0000; 000-000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (& Co Xxxxxx Xxxxxxxx xxxxxx.xxxxxxxx@xxxxxxxxxxxx.xxx 000) -000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (WrkLab Xxxxxx Xxxxxxxxx xxxxxxxxxx@xxxxxx.xxx 000) -000-0000 City of Peoria VFW Xxxxxx Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (xxxx0@xxxxxxxx.xx.xxx 000) -000-0000 19th Judicial Circuit Court Lake County, I Ruckers Lanes Xxxxx Xxxxxx; Xxx Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (xxxxx.x.xxxxxx.naf@xxxx.xxx; xxxxxx.x.xxxx00.xxx@xxxx.xxx 000) -000-0000 KSU Xxxx HPA Design Group Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (Xxxxxx xxxxxx@xxxxxxxxxxxxxx.xxx 000) -000-0000 Metropolitan Community College Hospitality Purchasing Group Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (Xxxxxxxx xxxx@xxxxxxxxxxxxx.xxx 000) -000-0000 CERTIFICATION BY CORPORATE OFFERER IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: Venue Industries LLC (Name of Corporation) Xxxxxxx Xxxxxxx I, certify that I am the Secretary of the Corporation named as OFFERER herein above; that Xxxxxxx Xxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as President (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 04/16/2021 DATE TIPS RFP # 210305 Required Confidential Information Status Form Venue Industries LLC Name of company Xxxxx Xxxxxxx, President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 X 00xx Xxxxxx, Xxx 000X, Xxxxx FL 33605 855-558-3683 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE ABOVE SECTIONTWO 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 9/21/2020 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. Exhibit B ARKANSAS MOLD and WATER, INC. REFERENCES Please provide three (3) references- CONFIDENTIAL Xxxx Xxxxx Director of School Maintenance Services Pulaski County Special School District 0000X Xxxx Xxxxx Xxxx Little Rock, preferably from school districts or other governmental entities who have used your services 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 AR 72206 Office: 000 000 0000 Cell: 000 000 0000 xxxxxx@xxxxx.xxx Xxxxxx Xxxx Director - Operations & Services University of Arkansas Medical Sciences Little Rock 0000 Xxxxx Xxxxxxxxxx Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (000) 000Xxxxxx Xxxx, XX 00000-0000 Little Rock School District Office: 000 000 0000 Cell: 000 000 0000 Email: xxxxxx@xxxx.xxx Xxxxxx Xxxxx Maintenance Planner Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (000) 000Arkansas Children’s Hospital 0 Xxxxxxxxx Xxx Xxxxxx Xxxx, XX 00000-0000 University of Houston - Clear Lake Office: 000 000 0000 Cell: 000 000 0000 Email: xxxxxxx@xxxxxxxxxxx.xxx Xxxxx Xxxxxxx Xx. Executive Vice-President East-Xxxxxxx Construction 0000 Xxxxxxxxxx Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000Xxxxxx Xxxx, XX 00000 Office: 000 000 0000 Cell: 000 000 0000 Email: xxxxxxxx@xxxxxxxxxxx.xxx ARKANSAS MOLD and WATER, INC. PROPERTY REMEDIATION & MITIGATION SPECIALISTS SM XX XXX 00000 XXXXXX XXXX, XX 00000-0000 University TEL: 000 000 0000 xxx.xxxxxxxxxxxxxx.xxx RELATIONSHIPS - REFERRALS - RESULTS July 13. 0000 XXXXXXXX XXXXXXXX MOLD and WATER, INC., (AMW) provides One Year Warranty for mitigation and remediation services. AMW adheres to IICRC Standards, Remediation S-520 Mitigation S-500 Unless otherwise directed by the property owner. We request a Release of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - RomeovilleLiability, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form 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 signed by the property owner 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 Requestrepresentative.) 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the event that e you are awarded. If you wish to designate your required W-9 confidential, please do so according to the terms of the Confidentiality Claim Form which is an attachment to this solicitation. Exhibit B REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services 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 University of Arkansas Medical Sciences Okaloosa County School District Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxxxxxxx.x00.xx.xx xxxxxxxxx@xxxxxxxx.xxx0.xxx (000)000-0000 Seashore Charter Schools Xxxxxxx XxXxxxxx (000)000-0000 Center ISD Xxxxxxx Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx xxxxxxx.xxxxxx@xxxxxxxxx.xxx (000) 000-0000 Little Rock School District Xxxxxx Trinity ISD Xxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx xxxxxxxx@xxxxxxxxxx.xxx (000) 000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Slidell ISD Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx xxxxxxxxx@xxxxxxxxxx.xxx xxxx.xxxxxxxxxx@universalacademy.c (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx Universal Academy Charter School Xxxxxxxxx XxXxxxxxxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx Xxxx X Xxxxxxxx High School Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx Xxxxxxxxxxx High School Xxxxxx Xxxxxx Xxxxxx.Xxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria SchoollßIoApp, LLC Juli# Xxxxx Jord&ß Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.CEO ߃& 2ƒf6ƒ202f X.X. Xxx 0x00 Xxxxxx

Appears in 1 contract

Samples: 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. Exhibit B REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services 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. REFERENCES: Entity Name Contact Person VALID EMAIL IS REQUIRED Phone University City of Arkansas Medical Sciences Dallas Xxx Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx - Assistant Director Collections xxxxxxx.xxxxxx@xxxxxxxxxxxxxx.xxx (000) 000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (000) 000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University City Of Dallas Xxxx Xxxxx xxxxxxx@xxxxx.xxx - Assistant Director of Fleet Management xxxx.xxxxx@xxxxxxxxxxxxxx.xxx (000) 000-0000 City of Peoria Xxxxxxxxxx Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx - Fleet & Materials Manager xxxxxx.xxxxx@xxx.xxx (000) 000-0000 19th Judicial Circuit Court Lake County, I City of Plano Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx Xxxxx - Director of Fleet & Equip Svcs xxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx City of Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx - Fleet Services Superintendent xxxxx.xxxxx@xxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx City of Garland Xxxxx Xxxxxx - Director of Fleet Maintenance xxxxxxx@xxxxxxxxx.xxx (000) 000-0000 Frisco ISD Xxxx Xxxxxx - Director of Transportation xxxxxxx@xxxxxxxxx.xxx (000) 000-0000 Frisco ISD Xxxxx Xxxxxxxxxx - Fleet Manager xxxxxxxx@xxxxxxxxx.xxx (000) 000-0000 NTTA Xxxx Xxxx - Fleet Supervisor xxxxx@xxxx.xxx (000) 000-0000 City of Ft. Worth Xxxxx Xxxxxxxx-Fleet Manager xxxxx.xxxxxxxx@xxxxxxxxxxxxxx.xxx (000) 000-0000 Fort Worth ISD Xxxxxxx Xxxxxx- Fleet Manager xxxxxxx.xxxxxx@xxxxx.xxx (000) 000-0000 Republic Services-FTW Xxxxxx Xxxxxxxxx-Fleet Manager xxxxxxxxxx0@xxxxxxxxxxxxxxxx.xxx (000) 000-0000 xxxxxxxx@xxxxxxxxxxxxxxxx.xxx (000) 000-0000 xxxxxx@xxxxxxxxxx.xxx (000) 000-0000 xxxx@xxxxxxxxxxx.xxx (000) 000-0000 xxxxxxxxxx@xxxxxxxxxxx.xxx (000) 000-0000 xxxxx.xxxxxxx@xxxxxxxxxxxx.xxx (000) 000-0000 xxxxxxx@xxxxxxxxx.xxx (000) 000-0000 xxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 City of Lewisville Fire Xxxxx XxXxxxx- Assistant Fire Chief City of Frisco Fire Xxxxx Xxxxx- Fleet Manager over Emergency Vehicles City of the Colony Xxxxxxx Xxx- Fleet Manger over Emergency Vehciles City of Frisco Public Works Xxxxx XxXxxxxxx- Fleet Manager City of Xxxxxx Xxxxx Xxxxxxx- Fleet Services Supervisor City of Garland Xxxxx Xxxxxx-Shop Supervisor over Public Works XxXxxxxx ISD (Durham) Xxxxxx Xxxx- Maintenance Supervisor TIPS RFP # 200803 Required Confidential Information Status Form 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. Conference Technologies Inc. Industrial Power LLC. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Bible Municipality Account Manager Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx 000 X. Xxxxx Xx. Xxxxxxxx Xxx. Xx Xxxx Xxxxx XX 00000 314.993.1400 817-834-7473 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 09/28/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the 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. Exhibit B REFERENCES Please provide three 9 NATIONAL EDUCATIONAL SYSTEMS Your Partner in Pursuit of Educational Excellence TIPS Cooperative (3Region 8 ESC) referencesBID #200903 Books, preferably from school districts or other governmental entities who have used your services w the last three yearsLibrary, & Educational Materials References: Laredo ISD Bilingual Department Xxxxx Xxxx, Director / Xxxxx Xxxxx, Secretary 000 Xxxxxx Xx. 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 University of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx Laredo, Texas 78040 (000) 000-0000 Little Rock School District fax: 956.-273-1834 xxxxx@xxxxxxxxx.xxx /xxxxxx@xxxxxxxxx.xxx Region 19 ESC Head Start Multi-Purpose Center Xxxxxxx Xxxxxxxxx, Center Director / Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx Xxxxxxx, Program Director II 00000 Xxxxx Xxxxxxxxx Dr. El Paso, TX 79936 (915) 790-4600 XXXXXXXX@XXX00XX.XXX Brownsville ISD Texas Literacy Initiative (TLI) Xxxxx X. Xxxxxxxx, Project Director 0000 Xxxxx Xxxx Xxxxxxxxxxx, XX 00000 (000) 000-0000 University of Houston - Clear Lake Xxxx xxxxxxxxxx@xxxx.xx Socorro ISD State and Federal Programs Xxxxxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL / Administrative Specialist I 00000 Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-El Paso, TX 79928 000.000.0000 fax: 000.000.0000 xxxxxx00@xxxx.xxx 0000 Xxxxxxx University Xx., Xxx. 000 Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake CountyXxxxxxx, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 XX 00000 000.000.0000 Fax: 000.000.0000 TIPS RFP # Required Confidential Information Status Form 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the 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. Exhibit B 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (Aldine ISD Xxxxxxxx Xxxxxxxx crnicholas@aldine.k12,xx.xx 000) -000-0000 Little Rock School District Xxxxxx Cypress-Fairbanks ISD Xxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (xxx.xxxxxxx@xxxxx.xxx 000) -000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000Dallas ISD Xxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxx.xxx 000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Fort Worth ISD Xxxxx Xxxx xxxxx.xxxx@xxxxx.xxx 000-000-0000 Xxxx ISD Xxx Xxxxx xxxxx@0000.xxx (xxxxxxxxxxxxxx@xxxxxxx.xxx 000) -000-0000 North East ISD Xxxxx Xxxxxxxx xxxxxx@xxxxx.xxx 000-000-0000 Xxxxxx ISD Xxxxxxxx Xxxxxxx xxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Austin ISD Xxxxxxx Xxxxxxxxx xxxxxxx.xxxxxxxxx@xxxxxxxxx.xxx 000-000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (ISD Xxxx Xxxxxx xxxxxxxx@xxxxxxxxxx.xxx 000) -000-0000 Illinois State University Xxxx Round Rock ISD Xxxxx xxxxxxx@xxxxx.xxx (Xxxxx xxxxx_xxxxx@xxxxxxxxxxxx.xxx 000) -000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 TIPS RFP # 210301 Required Confidential Information Status Form Cengage Learning, Inc. Name of company Xxxxxxx X. Xxxxx, Supervisor, Textbook Services & Adoptions Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxx Xxxx. Mason OH 45040 800-543-0487 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE ABOVE SECTIONTWO 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 9/21/2020 3/26/2021 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. Exhibit B TIP TAPS SCHOOL REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services 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 University of Arkansas Medical Sciences Xxxxxx Pangburn School D’xxxx Xxxx x'xxxx.xxxx@xxxxxxxxxxxxxxx.xxx 501-728-4511 England Schools Xxxx Xxxxx xxxx.xxxxx@xxxxxxx.x00.xx.xx 501-842-2996 AR School for the Blind Xxxxxxx xxxxxxxxx@xxxx.xxx (000) 000Xxxx xxxxxxx.xxxx@xxx.x00.xx.xx 501-0000 296-1810 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (Xxxxx xxxxxx.xxxxx@xxxx.xxx 000) -000-0000 University of Houston - Clear Lake Arkadelphia Public Schools Xxxxx Xxxxxx xxxxx.xxxxxx@xxxxxxxxxxxxxxxxxx.xxx 870-246-5564 Xxxxxx School District Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000xxxxxxxxxx@xxxxxxxxxxxxx.xxx 000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Palestine-Xxxxxxxx School District Xxxxxx Love xxxxx@xxxx.x00.xx.xx 870-581-2646 Springdale Public Schools Xxxxx Xxxxx xxxxx@0000.xxx (Xxxxxx xxxxxxx@xxxxx.xxx 000) -000-0000 Lake Xxxxxxxx School District Xxxxxx Xxxxx xxxxxx.xxxxx@xxxxxxxx.xxx 501-767-2306 Little Rock Christian Academy Xxxxxxx University Xxx Xxxxxxx Xxxxxxx.xxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx 501-868-9822 00000 Xxxxxxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx Xxxx Little Rock, AR 72204 501- 228-0808 General Warranty Terms AIMCO Equipment Company, LLC (000AIMCO) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake Countywarrants that all equipment and supplies sold to Tips Members shall be in “new” condition as supplied/packaged per manufacturer. Carrying the standard warranty, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form 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 the terms and conditions of each manufacturer. Service / installation work provided by AIMCO will carry a copy warranty period of all claimed confidential materials within your proposal 30 days labor 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 Request60 days parts from date of purchase.) 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the 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. Exhibit B 9 2 REFERENCES Allied Plastics Co Inc. Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University Winston Salem/Forsyth County Schools Xxx Xxxx xxxxx@xxxxx.x00.xx.xx 336-703-4255 Richland School District/Rice Creek Elem Xxxxxx Xxxxxxxxx xxxxxxxx@xxxxxxxx0.xxx 803-699-2900 Gwinnett County Public Schools Xxxxx Xxxxxx xxxxx_xxxxxx@xxxxxxxx.x00.xx.xx 000-000-0000 Vendor Name: Allied Plastics Co, Inc. Please provide a list of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx resellers the proposing company desires to be authorized to sell their products and services under the TIPS Agreement, if awarded. Authorized Reselling Company Name Full Address Main Phone Ext.1 Contact Contact Ph Ext Contact Email Website Fax XXXXXXX ENTERPRISES, INC. 000 X Xxxxxxxxxx Xx, XX Xxx 000, Xxxxxxxxxx,XX 00000 (000) 000-0000 Little Rock School District Xxxxxx Xx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (000) 000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx xx@xxxxxxxxxxxxxxxxxx.xxx xxx.xxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 1871 - ChicagoSCHOOL & OFFICE PRODUCTS OF AR XX Xxx 00000, IL Xxxxxx Xxxx, XX 00000 (501) 663-5500 Xxxxx Xxxxxx (000) 000-0000 xxxxxxxx0000@xxxxxxxxx.xxx xxxx://xxx.xxxxxxx.xxx/ (000) 000-0000 SCHOOL SOURCE, INC. 0000 X Xxxxxx Xx, Mesa, AZ 85203 (928) 699-5776 Xxx Xxxxx xxxxx@0000.xxx (000) 000-0000 xxx@xxxxxxxxxxxxxx.xxx xxxx://xxxxxxxxxxxxxx.xxxxxxx (000) 000-0000 OFFICESCAPES 0000 Xxxxxxxx Xx, Xxxxxxxx Xxxxxxx, XX00000 (000) 000-0000 Xxxx Xxxxxxx (000) 000-0000 xxxxxxxx@xxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxx.xxx (000) 000-0000 STAPLES BUSINESS ADVANTAGE 00000 Xxxx 00xx Xxxxxx, Xxxxxx, XX, 00000 (000) 000-0000 Sydney Bear xxxxxx.xxxx@xxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxxx x.xxx/xxxx/xxxxxx?xxxxxXx =10101 XXXXXX X. XXXX COMPANY 000 Xxxxxx Xx, Xxxxxxxxxx, XX, 00000 (860) 645-8700 Xxx Xxxxx (860) 645-8700 xxxxxxxx@xxxxx.xxx xxxxx://xxxxx.xxx/ (000) 000-0000 METEOR EDUCATION 000 XX 00xx Xxx, Xxxxxxxxxxx, XX, 00000 (800) 699-7516 Xxxxx Xxxxxxx (000) 000-0000 d xxxxxxx@xxxxxxxxxxxxxxx.xxx xxxxx://xxxxxxxxxxxxxxx.xxx (000) 000-0000 SIGNATURE PRODUCTS, INC. 000 Xxxxxxxxxx Xxxxxxxx Xx Xxx 000,Xxxxxx, XX 00000 (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx Xxxxxxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx xxxx@xxxxxxxxxxxxxxxxxxxxxxx.xxx xxxxx://xxxxxxxxxxxxxxxxxxxx xxx.xxx/ SCHOOLHOUSE PRODUCTS, INC. 00000 Xxxxxxxx Xxxxx, Xxxxx, XX, 00000 (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx Xxxxxx Xxxxxxx (000) 000-0000 19th Judicial Circuit Court Lake Countya xxxxx@xxxxxxxxxxxxxxxxxxx.xxx xxxxx://xxxxxxxxxxxxxxxxxxx. com/us/home.php?sec=0 XXXXXXX VENTURES, I INC. 000 Xxxxxxxxxx Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx XX Xxx X, Xxxxxxx, XX00000 (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx Xxxxxxx Xxxxxxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx xxxxx@xxxxxxxxxxxxxxx.xxx xxxx://xxx.xxxxxxxxxxxxxxx.x om/ (000) 000-0000 Required Confidential Information Status Form CONFIDENTIAL INFORMATION SUBMITTED GEORGIA SPECIALTY EQUIPMENT, L 000 X 00 Xxxxxxx, Xxxxxxxxxxxx, XX, 00000 (000) 000-0000 Xxxxxxx X. Xxxxxxxx (000) 000-0000 xxxxxxx@xxxxxxx.xxx xxxx://xxxxxxx.xxx/ (000) 000-0000 STOREY XXXXXXXXX COMPANY 0000 Xxxx Xxxxxx, Xxx Xxxxxx, XX, 00000 (000) 000-0000 Xxxxx Xxxxxxxxxxx (000) 000-0000 xxxxxxxxxxxx@xxxxxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxx x.xxx/ (000) 000-0000 STOREY XXXXXXXXX COMPANY 0000 Xxxx Xxxxxx, Xxx Xxxxxx, XX, 00000 (000) 000-0000 Xxxx Xxxxx (000) 000-0000 xxxxxx@xxxxxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxx x.xxx/ (000) 000-0000 XXXXXX EQUIPMENT & FURNITURE C 0000 X Xxxxx Xxxxxxx, Xxxx X, Xxxxxxxxxx, XX00000 (000) 000-0000 Xxxxx Xxxx (000) 000-0000 xxxxx@xxxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxx. com/ (000) 000-0000 XXXXX XXXXXX CO., INC. 0000 X. Xxxxxxx Xx, Suite C, Wood Xxxx, IL60191 (000) 000-0000 Xxxxxxx X. Xxxxxx (000) 000-0000 xxxxxxx@xxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxx.xx m/ (000) 000-0000 K-LOG, INC. 0000 00xx Xx, Xxxx, XX 00000 (847) 872-6611 180 Xxxx Xxxxx (000) 000-0000 180 xxxx@x-xxx.xxx xxxxx://xxx.x-xxx.xxx/ (000) 000-0000 STAPLES BUSINESS ADVANTAGE 000 Xxxx Xxxxx Xxx, Xxx. 000, Xxxxxxx, XX 00000 (000) 000-0000 Xxxxxx Xxxxx xxxxxx.xxxxx@xxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxxx x.xxx/xxxx/xxxxxx?xxxxxXx =10101 MIDWEST EDUCATIONAL FURNISHING 00000 X. Xxxxxx Xx., Xxxxxxx, XX 00000 (000) 000-0000 Xxxx Xxxxxx xxxxxxx@xxxxxxxxxxxxx.xxx xxxx://xxx.xxxxxxxxxxxxx.x om/ (000) 000-0000 XXX COMPANY, INC. 00 Xxxxx 00xx Xx, Xxxxx Xxxxx, XX 00000 (000) 000-0000 Xxxxxxx Xxxxxxxx (000) 000-0000 xxxxxxxxx@xxxxxxxxxxxxx.xxx xxxx://xxx.xxxxxxxxxxxxx.x om/ (000) 000-0000 SHARP SCHOOL SERVICES, INC. 0000 Xxxxxxxxxx Xx, Xxxxxx, XX 00000 (000) 000-0000 Xxxx Xxxxx (000) 000-0000 xxxxxx@xxxxxxxxxxxxxxxxxxx.xxx xxxx://xxx.xxxxxxxxxxxxxxxx xxx.xxx/ (000) 000-0000 BUSINESS FURNITURE CORP 0000 Xxxxxxx Xx, Xxxxx 000 Xxxx, Xxxxxxxxxxxx,XX 00000 (000) 000-0000 Xxxxxx Xxxxxx (000) 000-0000 xxxxxxx@xxxxxxxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxxxx x.xxx/ (000) 000-0000 KANSAS CONTRACT DESIGN 000 X Xxx Xx, Xxxxxxx, XX 00000 (316) 721-9462 Xxxxx Xxxxxxxxx (000) 000-0000 xxxxxx@xxxxxxxx.xxx xxxx://xxxxxxxx.xxx/ XXX XXXXXX & ASSOCIATES 00 Xxxxxxxx Xxxxx, Xxxxxx, KY 41094 (000) 000-0000 Xxxxxx Xxxx (000) 000-0000 xxxx.x@xxxxxxxxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxx xxxx.xxx/ (000) 000-0000 Nu- Idea 0000 Xxxxxxxxxxxx Xxxxx, Xxxxxxx Xxxxx,XX 00000 (931) 252-059 Xxxx Xxxxxxx (931) 252-059 xxxxxxxx@xx-xxxx.xxx xxxxx://xxx.xx-xxxx.xxx/ LOUISIANA SCHOOL EQUIPMENT CO. XX Xxx 00000, Xxxxxxxxx, XX 00000 (337) 278-3941 Xxxxx Xxxxxxx (000) 000-0000 xxxxxxxxxxxx@xxx.xxx STAPLES BUSINESS ADVANTAGE 000 Xxxxxxx Xxxxx, Xxxxxxxxxx, XX 00000 (000) 000-0000 Xxxxxxxx Xxxxx (000) 000-0000 xxxxxxxx.xxxxx@xxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxxx x.xxx/xxxx/xxxxxx?xxxxxXx =10101 STAPLES BUSINESS ADVANTAGE 000 Xxxxxxx Xxxxx, Xxxxxxxxxx, XX 00000 (000) 000-0000 Xxxxxx Xxxxxx (000) 000-0000 xxxxxx.xxxxxx@xxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxxx x.xxx/xxxx/xxxxxx?xxxxxXx =10101 DOURON, INC. 00 Xxxxxxxx Xxx Xxxx, Xxxxxx Xxxxx, MD21117 (000) 000-0000 Xxxxxx X. Xxx (000) 000-0000 xxxx@xxxxxx.xxx xxxxx://xxxxxx.xxx/ (000) 000-0000 AMERICAN DESIGN ASSOCIATES, IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS 0000 Xxxxxxx Xx., Xxxxxxxxx, XX 00000 (000) 000-0000 Xxxx Xxxxxx (000) 000-0000 xxxxxxx@xxxxxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxx xxxxxx.xxx/ (000) 000-0000 DEW-EL CORP. 00000 Xxx Xxx Xx, Xxxxxxx, XX 00000 (616) 396-6554 60 Xxxx Xxxxxxxxxx (000) 000-0000 60 xxxxxxxxxxx@xxx-xx.xxx xxxxx://xxx.xxx-xx.xxx/ (000) 000-0000 STAPLES BUSINESS ADVANTAGE 00000 X Xxxxxx Xxxx Xx, Xxx 000, Xxxxxxx, XX 00000 (000) 000-0000 Xxxxxx Xxxxx Lockhart xxxxxx.xxxxxxxx@xxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxxx x.xxx/xxxx/xxxxxx?xxxxxXx =10101 INNOVATIVE OFFICE SOLUTIONS 000 Xxxxx Xx X Xxx 00, Xxxxxxxxxx, XX 00000 (000) 000-0000 Xxxxxx Xxxxxx (000) 000-0000 xxxxxxxxx@xxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxx.xx m/ (000) 000-0000 INNOVATIVE OFFICE SOLUTIONS 000 Xxxxx Xx X Xxx 00, Xxxxxxxxxx, XX 00000 (000) 000-0000 Xxxx Xxxx (000) 000-0000 xxxxx@xxxxxxxxxxxxxxxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxx.xx m/ (000) 000-0000 STAPLES BUSINESS ADVANTAGE 0000 Xxxx Xxxxxxx Xxxx X, Xxxxx Xxxxx, XX 00000 (000) 000-0000 Xxxxx Xxxxx xxxxx.xxxxx@xxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxxx x.xxx/xxxx/xxxxxx?xxxxxXx =10101 CI SELECT 00000 Xxxxxxxx Xxxxxxxxxx Xxxxx, Xxx 000,Xxxxxxxx Xxxxxxx, XX 00000 (000) 000-0000 Xxxxxx Xxxxxx (000) 000-0000 xxxxxxx@xxxxxxxx.xxx xxxx://xxxxxxxx.xxx/ (000) 000-0000 STAPLES BUSINESS ADVANTAGE 0000 Xxxxxxxxx Xxxxxx, Xx. Xxxxx, XX 00000 (000) 000-0000 Xxxxx Xxxx xxxxx.xxxx@xxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxxx x.xxx/xxxx/xxxxxx?xxxxxXx =10101 EDUCATIONAL INTERIORS, INC. XX Xxx 0000, Xxxxxxx, XX 00000 (000) 000-0000 Xxxx Xxxxxx (000) 000-0000 xxxxxxx@xxxxxxxxxxx.xxx xxxx://xxx.xxxxxxxxxxxx.xxx / (000) 000-0000 INSTITUTIONAL INTERIORS INC 0000 Xxx Xxxxx Xxxxx, Xxxxx 000, Xxxxxxx, XX00000 (000) 000-0000 Xxxxxxx X. Xxxxxxx (000) 000-0000 xxxxxx@xxxxxxxxxxxxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxxxxx xxxxx.xxx/ (000) 000-0000 PERFECTION EQUIPMENT CO XX Xxx 000, Xxxxx Xxxx, NC 27344 (000) 000-0000 Xxxxxx Xxxxxxxx (000) 000-0000 xxxxxxxx@xxxxx.xxx xxxx://xxxxxxxxxxxxxxxxxxx. net/ (000) 000-0000 CAROLINA FURNISHINGS AND DESIGN 000 Xxxxx Xxxxxx, Xxxxx Xxxxx, XX 00000 (000) 000-0000 Xxxx Xxxxxxxxxxx (000) 000-0000 xxxxxxx@xxxxx.xxx xxxxx://xxx.xxxxxxx.xxx/ SCHOOL FURNISHINGS 00X Xxxxxxxxx Xx, Xxxxxx, XX 00000 (000) 000-0000 Xxxxx Xxxxx (000) 000-0000 xxxxx@xxxxxxxxxxxxxxxxx.xxx xxxxx://xxx.xxxxxxxxxxxxxxx xx.xxx/ (000) 000-0000 EQUIPMENT ENVIRONMENTS, INC. 00 Xxxxxx Xx, Xxxxxx, XX 00000 (603) 548-7081 Xxxxx X. Xxxxxx (000) 000-0000 xxxxxxxxxxxx@xxxxx.xxx xxxx://xxxxx.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 EDUCATION SERVICE CENTER REGION 8 AND TIPS PROPOSAL FORM/PROPOSAL FORM. OFFERER: Allied Plastics Company, Inc. (ESC8Name of Corporation) IS GOVERNED BY TEXAS GOVERNMENT CODE(See Attached Corporate Resolution Below) certify that I am the Secretary of the Corporation I, CHAPTER 552 If you consider (Name of Corporate Secretary) named as OFFERER herein above; that (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE DATE 30 Allied Plastics Co., Inc. warrants for a period of 30 years to the original purchaser that every Allied product is free from defects in workmanship and material, under normal use and service. All moving parts, to include but not limited to glides, casters, hinges and revolving platforms, etc. are warranted for 5 years against defects in workmanship or manufacture under normal use and service. Allied’s obligation under this warranty is limited to the replacement or repair, at Allied’s option, completely without charge for material or labor, of any portion part found defective by Allied. Shipping charges remain the responsibility 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 the purchaser. This warranty is in lieu of all claimed confidential materials within your proposal other warranties expressed or implied, and put any representations or prom- ises inconsistent with or in addition to 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 warranty are unauthorized and shall not be binding upon Allied. In no event shall Allied 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 special or consequential damages, whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section belownot foreseeable.

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. Exhibit B 2 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University of Arkansas Medical Sciences Xxxxxx Orleans Parish Sheriff's Office Xxxx X. Xxxxxxx xxxxxxxxx@xxxx.xxx (xxxxxxx@xxxx.xx 000) -000-0000 Little Rock School District Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (County Library Xxxx Xxxxxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxx.xxx 000) -000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000Clover Park School District #400 Xxxxxxx Xxxxxxxx xxxxxxxx@xxxxxxxxxx.x00.xx.xx 000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Alabama Department of Transportation Xxxxx Xxxxx xxxxx@0000.xxx (Xxxx xxxxx@xxx.xxxxx.xx.xx 000) -000-0000 Naugatuck Board of Education Xxxx Xxxxxxx University Xxx xxxxx.xxxxxxx@xxxxxxxxx.x00.xx.xx 203-720-5265 City of Colorado Springs Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (Xxxx xxxxx.xxxx@xxxxxxxxxxxxxxx.xxx 000) -000-0000 Illinois State University Xxxx Xxxxxx County Clerk's Office Xxxxxx Xxxxx xxxxxxx@xxxxx.xxx (xxxxxx@xxx.xxxx.xxx 000) -000-0000 City of Peoria The Overlake School Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (xxxxxx@xxxxxxxx.xxx 000) -000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (Town of Greenwich Xxx Xxxxx xxx.xxxxx@xxxxxxxxxxx.xxx 000) -000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (ISD XX Xxxxxx xxxxxxx@xxxxxxxxx.xxx 000) -000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 TIPS RFP # 200604 Required Confidential Information Status Form 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. Conference Technologies Global Equipment Company Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Xxxxxxxxxxx Xxxxxxx, Vice President Government Programs Printed Name and Title of authorized company officer declaring below the confidential status of material 00 Xxxxxx Xxxx Xxxxx Xxxx Xxxxxxxxxx XX 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 516-608-7612 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. ATTACHED ARE COPIES OF 2 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 9/21/2020 07/17/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: Tips Vendor Agreement

Upload of Current W-9 Required. Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. Additionally, if not designated “Confidential” in your proposal response, this W-9 may be accessed by TIPS Members for the purpose of making TIPS purchases from you in the 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. Exhibit B 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services 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 University of Arkansas Medical Sciences Xxxxxxxx County HS Xxx Xxxxxxx xxx.xxxxxxx@xxxxxxxxxx.xxx 386.792-7805 NEXCOM Xxxx Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (Xxxx.Xxxxxx@xxxxxx.xxx 000) -000-0000 Little Rock School District Pike Co Schools Xxxx Xxxx Xxxx.xxxx@xxxx.xxxxxxxxx.xx 000-000-0000 Greenup Co Schools Xxxxx Xxxxxxxx Xxxxx.xxxxxxxx@xxxxxxx.xxxxxxxxx.xx 000-000-0000 NEXCOM Xxxx X. Lipovsik Xxxx.Xxxxxxxx@xxxxxx.xxx 757.631.3743 River Valley Schools Xxx Xxxxxx xxxxxxx@xxxxxxxxxxxx.xxx 712.372.4420 University of Florida Xxxxxx Xxxxx xxxxxx@xxx.xxx 352-392-0306 North Carolina A&T Xxxxxx Xxxxxxxx xxxxxxx@xxxx.xxxxxxxxxxxx 000-000-0000 Montana State University Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (Xxxxxxxx xxxxxxxxx@xxxxxxx.xxx 000) -000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx Illinois – Chicago Xxxxx Xxx Xxxxxxxx (000)000X. Xxx) xxxx@xxx.xxx 000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 TIPS RFP # 210305 Required Confidential Information Status Form Seating Concepts, Inc Name of company Tom St Julien Account Executive Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxxxx Xxx. Rockdale IL 60436 815-483-2255 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE ONE OF THE ABOVE SECTIONTWO 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 9/21/2020 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. Exhibit B 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w 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 University of Arkansas Medical Sciences Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (Northwest ISD Forth Worth TX Xxxxxxxx Xxxxx ( planning Specialist) xxxxxxxx.xxxxx@xxxxxx.xxx 000) -000-0000 Little Rock School District North Central Texas College Xxx Xxxx (Director Purchasing) xxxxx@xxxx.xxx 000-000-0000 Lincoln Memorial University,TN Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx Xxxx (Purchaser) Xxxxxx.Xxxx@xxxxxx.xxx 000) -000-0000 University of Houston - Clear Lake Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx Tennessee Memphis Xxxxxx X Xxxxxx (000)000Purchaser) xxxxxxx0@xxxxx.xxx 000-0000 University of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - ChicagoOakwood University Hunstville Al, IL Xxxxx Xxxxx xxxxx@0000.xxx Xxxxxxxx (Xxxx) Xxxxxxxxx@xxxxxxx.xxx 000) -000-0000 Northwest ( NWCC) Senatobia MS Xx Xxxx Xxxx ( Xxxx of Students ) xxxxx@xxxxxxxxxxx.xxx 662-562-8800 Greensboro Middle School Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (Xxxxxxx ( Principal) xxxxxxxx@xxxxx00.xxx 000) -000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City Logiflex Warranty Warranty Logiflex guarantees to the original purchaser that Logiflex products are free from defects in design, materials and workmanship for the products’ lifetime. Effective as of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake Countythe date invoiced to the distributor, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information the warranty is valid only for products bought new from an authorized Logiflex distributor 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 long as the confidential information in original purchaser owns the submitted proposalproducts. The copy uploaded warranty period will be reduced proportionately if the products are used over a period exceeding the equivalent of a shift of 40 hours/week. This warranty applies only to normal use of the product and 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 limited to the Office repair or replacement 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 disclosuresaid product at Logiflex’s discretion. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM All replacement parts of my proposal to will be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response shipped to the solicitationoriginal shipping address. The attached contains material from our proposal that I classify Transportation and deem confidential under Texas Gov't Code Seclabor are not covered by this warranty. 552 By accepting the product at its delivery, the buyer accepts these conditions. Limited Lifetime Warranty: Access, Knockout, Level, Logilife, Manhattan, Millenium, Réception and Tables (Conference, Occasional, Multimedia) 5 Year Warranty: Academic, Madrid and Soft Seating 10 Year Warranty: Chairs Elevation: Limited lifetime warranty on laminate, 5 year warranty on metal legs including mechanism and motor, and 1 year warranty on control panel. Elevation Plus: Limited lifetime warranty, with a 2 year restriction on base, mechanism, motors and controller. Volt: Lifetime warranty, with a 5 year restriction on wood components. This warranty does not apply to defects or other law(s) damages resulting from: • Normal wear and I invoke my statutory rights to confidential treatment tear occurring with the use of the enclosed product; • Negligence, misuse, abuse or accident; • Substitution, modification, transformation, repair, renovation or use of components or materials that have not been authorized by Logiflex; • Renting to a third party; • Natural properties of materials; • For leather products: normal defects in leather such as: scars, marks or difference in stain within a leather skin or between different skins; • Exposure to sunlight or environments with extreme temperature/humidity conditions; • Damage caused by a carrier in transit, or delivery/installation contractors. 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 9/21/2020 OR I DO NOT CLAIM any This warranty does not include: • Parts and materials supplied by the customer (COM); • Special finishes applied to Logiflex products; • The matching of my proposal colors, grains or textures of wood due to be confidential, complete its natural properties; • Non-standard Logiflex products; • Logiflex product not installed or used in accordance with the section belowLogiflex installation guidelines; • Bulbs and ballasts.

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. Exhibit B 5 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services w withi 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 University of Arkansas Medical Sciences Xxxxxx North Side ISD Xxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (xxxxx.xxxxxxx@xxxx.xxx 000) -000-0000 Little Rock School District Cypress-Fairbanks ISD Xxxxxxx Xxxxxx Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (Xxxxxxx.xxxxxx@xxxxx.xxx 000) -000-0000 University of Houston - Clear Lake Xxxxx ISD Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000-0000 University of Houston - Downtown Xxxxxxxx xxxxxxxxx@xxxxxxxx.xxx Plano ISD Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000xxxxxx.xxxxxx@xxxx.xxx 000-0000 Xxxxx University - Romeoville, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (Prosper ISD Xxxx Xxxx xxxxxx@xxxxxxx-xxx.xxx Harlingen ISD Xxxxxxxx Xxxxxxxx xxxxxxxx.xxxxxxxx@xxxxx.xxx 000) -000-0000 Xxxxxxx University Round Rock ISD Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx Xxxxxxxx xxx_xxxxxxxx@xxxxxxxxxxxx.xxx 512/464-6952 DocuSign Envelope ID: B4FB9751-0D8D-4B3E-82F7-2AD747A6E995 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: X.X. Xxxxxx & Company, Inc. (000Name of Corporation) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx certify that I am the Secretary of the Corporation I, (000Name of Corporate Secretary) 000named 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 CFO (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 4/14/2021 DATE DocuSign Envelope ID: 72A64086-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000D9C8-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000458D-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000B139-0000 BE6EDD667A7D TIPS RFP # 210301 Required Confidential Information Status Form X. X. Xxxxxx & Company, Inc. Name of company Xxxxx Xxxxxxxx, CFO Printed Name and Title of authorized company officer declaring below the confidential status of material 000 Xxxxx Xxxxxx Xxx Xxxx XX 00000 000-000-0000 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone OPTION 1: ALL VENDORS MUST COMPLETE ONE OF THE ABOVE SECTIONTWO OPTIONS BELOW. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. IF CLAIMING PARTS OF YOUR PROPOSAL CONFIDENTIAL, YOU MUST ATTACH THE SHEETS TO THIS FORM AND LIST THE NUMBER OT TOTAL PAGES THAT ARE CONFIDENTIAL. ATTACHED ARE COPIES OF PAGES OF CLAIMED CONFIDENTIAL MATERIAL FROM OUR PROPOSAL THAT WE DEEM TO BE NOT PUBLIC INFORMATION AND WILL DEFEND THAT CLAIM TO THE TEXAS ATTORNEY GENERAL IF REQUESTED WHEN A PUBLIC INFORMATION REQUEST IS MADE FOR OUR PROPOSAL. Signature Date 9/21/2020 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 TlPS 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. Exhibit B ARKANSAS MOLD and WATER, INC. REFERENCES Please provide three (3) references- CONFIDENTIAL Xxxx Xxxxx Director of School Maintenance Services Pulaski County Special School District 0000X Xxxx Xxxxx Xxxx Little Rock, preferably from school districts or other governmental entities who have used your services 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 AR 72206 Office: 000 000 0000 Cell: 000 000 0000 xxxxxx@xxxxx.xxx Xxxxxx Xxxx Director - Operations & Services University of Arkansas Medical Sciences Little Rock 0000 Xxxxx Xxxxxxxxxx Xxxxxx Xxxxxxx xxxxxxxxx@xxxx.xxx (000) 000Xxxxxx Xxxx, XX 00000-0000 Little Rock School District Office: 000 000 0000 Cell: 000 000 0000 Email: xxxxxx@xxxx.xxx Xxxxxx Xxxxx Maintenance Planner Xxxxxxx Xxxxxx.Xxxxxxx@XXXX.xxx (000) 000Arkansas Children’s Hospital 0 Xxxxxxxxx Xxx Xxxxxx Xxxx, XX 00000-0000 University of Houston - Clear Lake Office: 000 000 0000 Cell: 000 000 0000 Email: xxxxxxx@xxxxxxxxxxx.xxx Xxxxx Xxxxxxx Xx. Executive Vice-President East-Xxxxxxx Construction 0000 Xxxxxxxxxx Xxxx Xxxxxxxxx xxxxxxxxxxxxx@xxxx.xxx (000)000Xxxxxx Xxxx, XX 00000 Office: 000 000 0000 Cell: 000 000 0000 Email: xxxxxxxx@xxxxxxxxxxx.xxx ARKANSAS MOLD and WATER, INC. PROPERTY REMEDIATION & MITIGATION SPECIALISTS SM XX XXX 00000 XXXXXX XXXX, XX 00000-0000 University TEL: 000 000 0000 xxx.xxxxxxxxxxxxxx.xxx RELATIONSHIPS - REFERRALS - RESULTS July 27. 2020 BID RESPONSE - 200701 WARRANTY ARKANSAS MOLD and WATER, INC., (AMW) provides One Year Warranty for mitigation and remediation services. AMW adheres to IICRC Standards, Remediation S-520 Mitigation S-500 Unless otherwise directed by the property owner. We request a Release of Houston - Downtown Xxxxxx Xxxxxx XxxxxxX@xxx.xxx (000)000-0000 Xxxxx University - RomeovilleLiability, IL Xxxxxxxxxxx X. Xxxxxxxx XxxxxxXx@xxxxxx.xxx (000) 000-0000 1871 - Chicago, IL Xxxxx Xxxxx xxxxx@0000.xxx (000) 000-0000 Xxxxxxx University Xxx Xxxxx xxxxxx@xxxxxx.xxxxxxx.xxx (000) 000-0000 Illinois State University Xxxx Xxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 City of Peoria Xxxxx Xxxxx xxxxxx@xx.xxxxxx.xx.xx (000) 000-0000 19th Judicial Circuit Court Lake County, I Xxxx Xxxxxxx xxxxxxxxxxxxxxxxxx@xxxxx.xxx (000) 000-0000 KSU Xxxx Xxxxxx Stadium Xxxxx Xxxxx xxxxxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Metropolitan Community College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx (000) 000-0000 Required Confidential Information Status Form 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 signed by the property owner 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 Requestrepresentative.) 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. Conference Technologies Inc. Name of company Xxxxxxx Xxxxxx Contract Sales/Estimator Printed Name and Title of authorized company officer declaring below the confidential status of material 00000 Xxxx Xx. Xxxxxxxx Xxx. Xx 00000 314.993.1400 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION. I DO CLAIM parts of my proposal to be confidential and DO NOT desire to expressly waive a claim of confidentiality of all information contained within our response to the solicitation. The attached contains material from our proposal that I classify and deem confidential under Texas Gov't Code Sec. 552 or other law(s) and I invoke my statutory rights to confidential treatment of the enclosed materials. 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 9/21/2020 OR I DO NOT CLAIM any of my proposal to be confidential, complete the section below.

Appears in 1 contract

Samples: www.tips-usa.com

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