Upload of Current. W-9 Required Please note that you are required by TIPS to upload a current W-9 Internal Revenue Service (IRS) Tax Form for your entity. This form will be utilized by TIPS to properly identify your entity. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD Xxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 TIPS RFP # 210602 Required Confidential Information Status Form Command Commissioning, LLC Name of company Xxx Xxxxxx, PE, CxA, CEM, LEED AP - Principal/President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxx XX 00000 214.441.0782 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. OPTION 1:
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD Salem Public Schools Xxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College xxxxxx@xxxxxx00.xxx 978-740-1212 Springfield Empowerment Zone Partners Xxxxxxx Xxxxxxx xxxxxxxx@xxxxxxxxxxxxxxxxxxxxxx.xxx 000-000-0000 Conservatory Lab Charter School Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 Xxxxxxxxxx xxxxxxxxxxx@xxxxxxxxxxxxxxx.xxx 617-254-8904 TIPS RFP # 210602 Required Confidential Information Status Form Command Commissioning, LLC Open Architects Inc. Name of company Xxx Xxxx Xxxxxx, PE, CxA, CEM, LEED AP - Principal/President Chief Executive Officer Printed Name and Title of authorized company officer declaring below the confidential status of material 00 Xxxxxxxxxx Xx. #0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxx XX 00000 214.441.0782 207-522-6386 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. OPTION 1:
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW HANDWRI Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD Xxxxxxxx State University Xxxx Xxxxx xxxxxx@xxxxxxxx.xxx (000) 000-0000 City of North Richland Hills Xxx Xxxxxxx xxxxxxxx@xxxxx.xxx (000) 000-0000 City of Xxxxxx Xxxx Klophenstein xxxxxxxxxxxxx@xxxxxxxxxxxx.xxx (000) 000-0000 City of Xxxxxxxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 Xxxxxxxxxxx.xxxxxx@xxx.xxx (000) 000-0000 TIPS RFP # #210602 Required Confidential Information Status Form Command Commissioning, Todo Verde LLC Name of company Xxx Xxxxxx, PE, CxA, CEM, LEED AP - Principal/President Xxxxx X Xxxxxxxx Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxx XX 00000 214.441.0782 Xxxxxxx Xx Burleson TX 76028 214538 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. OPTION 1:.
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW NO Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within 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 Northwest Arlington ISD Xxxxx Xxxxxxxx xxxxxxxx@xxxx.xxx (000) 000-0000 Clear Creek ISD Xxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 XXXXXX@xxxxx.xxx 281-284-0000 Northside ISD Xxxxx Xxx xxxxx.xxx@xxxx.xxx (000)000-0000 TIPS RFP # 210602 Required Confidential Information Status Form Command Commissioning, LLC Name of company Xxx Xxxxxx, PE, CxA, CEM, LEED AP - Principal/President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxx XX 00000 214.441.0782 Address City State ZIP Phone ALL LL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t 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” CONFIDENTIAL and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. OPTION 1:.
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW HA Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within w the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD City of Xxxx Xxxxxx Xxxxx xxxxxx@xxxxxxxxxx.xxx (000) 000-0000 City of Dallas Xxxxxxx Xxxxxxxxx xxxxxxx.xxxxxxxxx@xxxxxxxxxxxxxx.xxx (000)000-0000 City of Plano Xxxxxxxx Xxxx Xxxxxxxx.xxxx@xxxx.xxx (000)000-0000 City of Fate Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Xxxxxxxx@xxxxxxxxxx.xxx (000)000-0000 The Texas A&M University Engineering Exper Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 TIPS RFP # 210602 Required Confidential Information Status Form Command CommissioningComptroller of Public Accounts (CPA) administers the Statewide Historically Underutilized Business (HUB) Program for the State of Texas, LLC Name which includes certifying minority, woman, and service disabled veteran-owned businesses as HUBs and facilitates the use of HUBs in state procurement and provides them with information on the state's procurement process. We are pleased to inform you that your application for certification/re-certification as a HUB has been approved. Your company's profile is listed in the State of Texas HUB Directory and may be viewed online at xxxxx://xxxxx.xxx.xxxxx.xx.xx/tpasscmblsearch/index.jsp. Provided that your company Xxx Xxxxxxcontinues to meet HUB eligibility requirements, PEthe attached HUB certificate is valid for the time period specified. You must notify the HUB Program in writing of any changes affecting your company’s compliance with the HUB eligibility requirements, CxAincluding changes in ownership, CEMday-to-day management, LEED AP - Principal/President Printed Name control and/or principal place of business. Note: Any changes made to your company’s information may require the HUB Program to re-evaluate your company’s eligibility. Please visit our website at xxxx://xxxxxxxxxxx.xxxxx.xxx/procurement/prog/hub/ and Title reference our publications (i.e. Grow Your Business pamphlet, HUB Brochure and Vendor Guide) providing addition information on state procurement resources that can increase your company’s chances of authorized company officer declaring below doing business with the confidential status of material 0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxx XX 00000 214.441.0782 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 state. Thank you for your participation in the HUB Program! If you consider have any portion questions, you may contact a HUB Program representative at 000-000-0000 or toll-free in Texas at 0-000-000-0000. Texas Historically Underutilized Business (HUB) Certificate Certificate/VID Number: 1813887698400 File/Vendor Number: 500792 Approval Date: 19-FEB-2021 Scheduled Expiration Date: 19-FEB-2025 The Texas Comptroller of your proposal Public Accounts (CPA), hereby certifies that HERITAGE INSTITUTE OF SUSTAINABILITY LLC has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Program to be confidential recognized as a HUB. This certificate printed 19-FEB-2021, supersedes any registration and certificate previously issued by the HUB Program. If there are any changes regarding the information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Code or other law(s)(i.e., business structure, ownership, day-to-day management, operational control, business location) provided in the submission of the business’ application for registration/certification as a HUB, you must attach a copy immediately (within 30 days 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 such changes) notify the confidential information HUB Program in the submitted proposalwriting. The copy uploaded is CPA reserves the right to indicate which material in your proposal, if any, you deem confidential in the event the receives conduct a Public Information Requestcompliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of ineligibility.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. OPTION 1:
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD Dallas Area Rapid Transit (DART) Xxxxxx Xxxxxx, CPPB, Contract Specialist xxxxxxx@xxxx.xxx 000-000-0000 San Antonio Water System, TX Max Mokeyev xxxxx.xxxxxxx@xxxx.xxx 000-000-0000 San Jacinto Community College District, Xxxxxxxx Xxxxxxx Xxxxxxxx.Xxxxxxx@xxxx.xxx Cell: 000-000-00 City of Dallas, TX Xxxxxx X. Xxxxxx, Business Manager xxxxxx.xxxxxx@xxxxxxxxxxxxxx.xxx O: (214) 670-45 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: 22nd Century Technologies, Inc. (Name of Corporation) Xxxxxxx Xxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College Xxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 (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 Contracts Manager (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available SIGNATURE 7/15/2021 DATE TIPS RFP # 210602 Required Confidential Information Status Form Command Commissioning22nd Century Technologies, LLC Inc. Name of company Xxx XxxxxxXxxxxxxx Xxxxxxx, PE, CxA, CEM, LEED AP - Principal/President Contracts Manager Printed Name and Title of authorized company officer declaring below the confidential status of material 700 Xxxxxx Xx., XXX 0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxx XX 00000 214.441.0782 088-998-7284 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. OPTION 1:
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. Leave this file an Excel - DO NOT HANDW CONVERT 210503 REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. Verify your references emails are deliverable and that they agree to provide a reference. Failure to do this may delay the evaluation process. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD Xxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College Lorain County Commissioners Xxxxxxx XxxXxxxxx xxxxxxxxxx@xxxxxxxxxxxx.xx 000-000-0000 Higher State Technology Xxxx Xxxxxx xxxx.xxxxxx@xxxxxx-xxxxx.xxx 512-900-9478 Progressive Computing, Inc. Xxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 xxxx@xxxxxxxxxxxxxxxxxxxxx.xxx 000-000-0000 TIPS RFP # 210602 Required Confidential Information Status Form Command CommissioningECXSystems, LLC Name of company Xxx XxxxxxXxxx Xxxxx, PE, CxA, CEM, LEED AP - Principal/President VP Operations Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxxx Xxxxx, 00000 Xxxxxx Xxxx Xxxxx 000 Xxxxxx XX 00000 214.441.0782 TX 75703 903-258-9811 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. OPTION 1:.
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. REFERENCES ALL INFORMATION MUST CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE TYPED EXECUTED AND FORM MUST BE UPLOADED IN EXCEL FORMATINCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. DO NOT HANDW Please provide three OFFERER: AccuSource, Inc. (3Name of Corporation) referencesXxxx Xxxxxx certify that I am the Secretary of the Corporation I, preferably from school districts or other governmental entities (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxxxxx Xxxxxxx (Name of person who have used your services completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Business Development Manager (Title/Position of person signing proposal/offer document within the last three yearscorporation) 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. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS N/A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD Xxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 CORPORATE SEAL if available SIGNATURE 08/16/2021 DATE TIPS RFP # 210602 210701 AccuSource, Inc. Name of company Xxxx Xxxxxx, CEO Required Confidential Information Status Form Command Commissioning, LLC Name of company Xxx Xxxxxx, PE, CxA, CEM, LEED AP - Principal/President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxxx Xxxxx00000 Xxxxxx Xxxxxxxxxx Xxxx, Xxxxx 000 Xxxxxx X0 Xxxxxxxx XX 00000 214.441.0782 00000-0000 (000) 000-0000 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. OPTION 1:.
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD Augmented Training Systems Xxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper xxxxx@xxxxxxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Augmented Training Systems Xxxxx XxxXxxx xxxxx.xxxxxxx@xxxxxxxxxxxxxxxxxxxxxxxx.xxx (000) 000-0000 Augmented Training Systems Xxxxx Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 xxxxx.xxxxxx@xxxxxxxxxxxxxxxxxxxxxxx.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: Augmented Training Systems (Name of Corporation) Xxxxx Xxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxx Xxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as 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 6/3/21 DATE TIPS RFP # #210602 Required Confidential Information Status Form Command Commissioning, LLC Augmented Training Systems Name of company Xxx Xxxxxx, PE, CxA, CEM, LEED AP - Principal/Xxxxx Xxxxx President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxx XX 00000 214.441.0782 Xxxxx Xxxxxx Tx 78737 512348 Address City State ZIP Phone ALL VENDORS MUST COMPLETE THE ABOVE SECTION CONFIDENTIAL INFORMATION SUBMITTED IN RESPONSE TO COMPETITIVE PROCUREMENT REQUESTS OF EDUCATION SERVICE CENTER REGION 8 AND TIPS (ESC8) IS GOVERNED BY TEXAS GOVERNMENT CODE, CHAPTER 552 If you consider any portion of your proposal to be confidential information and not subject to public disclosure pursuant to Chapter 552 Texas Gov’t Gov't Code or other law(s), you must attach a copy of all claimed confidential materials within your proposal and put this COMPLETED form as a cover sheet to said materials then scan, name “CONFIDENTIAL” and upload with your proposal submission. (You must include all the confidential information in the submitted proposal. The copy uploaded is to indicate which material in your proposal, if any, you deem confidential in the event the receives a Public Information Request.) ESC8 and TIPS will follow procedures of controlling statute(s) regarding any claim of confidentiality and shall not be liable for any release of information required by law. Upon your claim and your defense to the Office of Texas Attorney General is required to make the final determination whether the information submitted by you and held by ESC8 and TIPS is confidential and exempt from public disclosure. OPTION 1:.
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest Xxxxxx ISD Xxxxx Xxxxxx xxxxxxx@xxxxxxxxx.xxx (000) 000-0000 Eagle Mountain-Saginaw ISD Xxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College xxxxxx@xxx-xxx.xxx (000) 000-0000 Xxxxxx ISD Xxxxxx Xxxx xxxxxx.xxxx@xxxxxxxxx.xxx (000) 000-0000 Xxxxxx Valley ISD Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper Xxxxxxxx xxxxxxx.xxxxxxxx@xxxxx.xxx (000) 000-0000 Northwest ISD Xxx XxXxxxx Xxx.XxXxxxx@xxxxxx.xxx (000) 000-0000 Xxxxx City ISD Xxxxx Xxxxxx xxxxxxx@xxxxx.xxx (000) 000-0000 Waco ISD Xxxxx Xxxxxxxxx xxxxx.xxxxxxxxx@xxxxxxx.xxx (000) 000-0000 CERTIFICATION BY CORPORATE OFFERER COMPLETE ONLY IF OFFERER IS A CORPORATION, THE FOLLOWING CERTIFICATE SHOULD BE EXECUTED AND INCLUDED AS PART OF PROPOSAL FORM/PROPOSAL FORM. OFFERER: Metrostudy, Inc dba Zonda Intelligence (Name of Corporation) Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 Xxxxxxxx certify that I am the Secretary of the Corporation I, (Name of Corporate Secretary) named as OFFERER herein above; that Xxxxx Xxxxxxxxx (Name of person who completed proposal document) who signed the foregoing proposal on behalf of the corporation offerer is the authorized person that is acting as Contract Coordinator (Title/Position of person signing proposal/offer document within the corporation) of the said Corporation; that said proposal/offer was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. CORPORATE SEAL if available IGNATURE SIGNATURE June 3, 2021 DATE TIPS RFP # 210602 Required Confidential Information Status Form Command CommissioningMetrostudy, LLC Inc dba Zonda Intelligence Name of company Xxx XxxxxxXxxxx Xxxxxxxxx, PE, CxA, CEM, LEED AP - Principal/President Contract Coordinator Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 000 Xxxxxxx Xx, #000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxx XX 00000 214.441.0782 817-251-1607 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. OPTION 1:
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW HANDWRITE R Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Switch Global Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD Xxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar South College Xxxx Xxxxx xxxxxx@xxxxx.xxx (000) 000-0000 University of Tennessee, Knoxville Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M Xxxxxx xxxxxxx@xxx.xxx (000) 000-0000 Tennesse State University Engineering Exper Xxxxxx (TSU) Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 (Xxxx) Xxxxx xxxxxx@xxxxxxx.xxx (000) 000-0000 University of North Georgia (UNG) Xxxx Xxxxxxxx j xxx.xxxxxxxx@xxx.xxx (000) 000-0000 University of the South Xxxxxxx Xxxxxxxxx xxxxxxxx@xxxxxxx.xxx (000) 000-0000 TIPS RFP # 210602 Required Confidential Information Status Form Command CommissioningSwitch Global, LLC Name of company Xxx XxxxxxXxxxxx Xxxxx, PE, CxA, CEM, LEED AP - Principal/President CEO Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxx Xxxxxxxxxx Xxxxxxx Xxxxxxx XX 00000 214.441.0782 (470) 607-3400 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. OPTION 1:.
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW HAND Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD Wichita Public Schools Xxxxx Xxxxxxxxxx xxxxxxxxxxx@xxx000.xxx 000-000-0000 Blue Valley Public Schools Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College Xxxxxxxxx xxxxxxxxxx@xxxxxxxxxxx00.xxx xxxx.xxxxxxx@xxxxxxx.xxx 000-000-0000 Yukon Public Schools Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 000-000-0000 TIPS RFP # 210602 Altitude UAS Name of company Xxxx Xxxxx, CEO Required Confidential Information Status Form Command Commissioning, LLC Name of company Xxx Xxxxxx, PE, CxA, CEM, LEED AP - Principal/President Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxxx Xxxxx, Xxxxx 000 Xxxxxx X Xxxxxxxx Xx Xxxxxxx XX 00000 214.441.0782 785-423-1669 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. OPTION 1:
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. REFERENCES ALL INFORMATION MUST BE TYPED AND FORM MUST BE UPLOADED IN EXCEL FORMAT. DO NOT HANDW HANDWRITE RE REFERENCES Please provide three (3) references, preferably from school districts or other governmental entities who have used your services within the last three years. Additional references may be required. DO NOT INCLUDE TIPS EMPLOYEES AS A REFERENCE. You may provide more than three (3) references. Entity Name Contact Person VALID EMAIL IS REQUIRED Phone Northwest ISD Xxxxx Xxxxx xxxxxx@xxxxxx.xxx 817.215.0020 Del Mar College Xxxx Xxxxxxx xxxxxxxx@xxxxxx.xxx 361.698.1642 Texas A&M University Engineering Exper Big Springs Charter School Xxxxxx Xxxxxxxxx xxxxxxxxxx@xxxxx00.xxx (000) 000-0000 Amigos Por Vida Friends For Life Ch Xxxxxx Xxxxxxx xxxxxxxx@xxxx.xxx 979.862.2775 xxxxxxxx@xxxxxxxxxxxxx.xxx (000) 000-0000 Tyler Street Christian Academy Xxxxxxxx Xxxxxxx xxxxxxxxxxxxxxx@xxxx.xxx (000) 000-0000 TIPS RFP # 210602 Required Confidential Information Status Form Command Commissioning, LLC Xxxxx Xxxxxxx Consulting Name of company Xxx XxxxxxXxxxx Xxxxxxx, PE, CxA, CEM, LEED AP - Principal/President Education consultant Printed Name and Title of authorized company officer declaring below the confidential status of material 0000 Xxxxxxxxx Xxxxx, Xxxxxxxx Xxxxx 000 Xxxxxx Xxxxx Xxxx XX 00000 214.441.0782 817-681-8854 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. OPTION 1:
Appears in 1 contract
Samples: Vendor Agreement
