YES NO Sample Clauses

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 25% of the total project cost. PROJECT MANAGER CERTIFICATION: ▇▇▇▇ ▇▇▇▇▇▇▇, Executive Director

YES NO. Do you offer additional discounts to TIPS members for large order quantities or large scope of work? Yes Years in business as proposing company? If awarded on PART 1, does the vendor have resellers that it will name under this contract? Resellers are defined as other companies that sell your products under an agreement with you, as the awarded vendor of TIPS. EXAMPLE: BIGmart is a reseller of ACME brand televisions. If ACME were a TIPS awarded vendor, then ACME would list BIGmart as a reseller. (Resellers are only permitted under a PART 1 award. If applicable, Vendor should add all Authorized Resellers within the TIPS Vendor Portal upon award). No

YES NO. If awarded on Part 1 of the TIPS Contract, for the duration of the Contract, Vendor agrees to provide, upon request, their then current catalog pricing, as defined in the solicitation and below, to TIPS upon request for any goods and services offered on PART 1 of the Vendor's TIPS Contract, if any.

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 29% of the total project cost. PROJECT MANAGER CERTIFICATION: ▇▇▇▇ ▇▇▇▇, Agent

YES NO. Do you offer additional discounts to TIPS members for large order quantities or large scope of work? Yes Years in business as proposing company?

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is % of the total project cost. PROJECT MANAGER CERTIFICATION: ▇▇▇▇ ▇▇▇▇▇/Service Director CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. 2. Do you certify this will be your only place of residence? ................................................................................... ☐ YES ☐ NO 3. Are you or any member of your household currently receiving Rental Assistance? ...................... (i.e., Section 8 Housing Assistance Payments, Rural Development Rental Assistance, Housing Choice Voucher, etc.) If YES, I understand that, according to my current lease, I must provide the required written notice to the agent currently managing the property where I live. ☐ YES ☐ NO 4. Have any household member(s) (check that apply): ☐ Been Homeless ☐ Fled Housing Due to Violence ☐ Lived in Public Housing ☐ None 5. How did you hear about this housing? ☐ Online ☐ Newspaper ☐ Drive By ☐ Local Agency ☐ Resident Referral ☐ Other HTC rev 01.2025 email: ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Current address: Street Address City State Zip Code How long have you lived at your current address? ............................. From: To: Owner/Manager: Name/Company Phone # Email Is this a family member/friend? ................................................................................................................................... ☐ YES ☐ NO Do all adult household members live at this address? ............................................................................................If NO, include additional adult household’s current address and contact information on a separate sheet of paper ☐ YES ☐ NO Previous address: Street Address City State Zip Code How long did you live at this address? ................................................ From: To: Owner/Manager: Name/Company Phone # Email Was this a family member/friend?............................................................................................................................... ☐ YES ☐ NO 6. Primary Language: Do you require an interpreter? ☐ YES ☐ NO 7. Is there someone NOT listed on this packet who would normally be living in the household? ....

YES NO. Certification of Residency (Required by the State of Texas) The vendor's ultimate parent company or majority owner: