Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Digitally signed by ▇▇▇▇▇▇ ▇▇ 1/20/2021 Signature Date: 2021.02.16 18:01:37 -05'00' Date Confidentiality Claim Form rev 10012020RP Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service a Go to ▇▇▇.▇▇▇.▇▇▇/▇▇▇▇▇▇ for instructions and the latest information. See Specific Instructions on page 3. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor or single-member LLC ✔ C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) Requester’s name and address (optional) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Under penalties of perjury, I certify that:
Appears in 1 contract
Sources: Vendor Agreement
Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Digitally signed by ▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇ 1/20/2021 Signature Date: 2021.02.16 18:01:37 -05'002020.10.07 15:30:00 -04'00' Date Confidentiality Claim Form rev 10012020RP 02272019 We specialize in thermal cameras to measure “Elevated Body Temperature”. We offer a suite of these products from handhelds to self service kiosks and group scanners with AI facial detection. Additionally, we supply physical barriers in the form of clear plastic dividers, room dividers and desk dividers. To fill out our catalog, we also offer hand sanitizers, social distancing stickers/graphics, and masks. On our website we classify this catalog as Safety Essentials and you can browse here for more complete descriptions and images: ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/reopening-safety-essentials/ We also offer twice weekly webinars on our Elevated Body Temperature products. This is a great resource for schools who do not know which solution will be best for them. We offer this informative and consultative service entirely free of charge: ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/ebt-webinars/ W-9 Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service a Go to ▇▇▇.▇▇▇.▇▇▇/▇▇▇▇▇▇ for instructions and the latest information. See Specific Instructions Give Form to the requester. Do not send to the IRS. 1 Name (as shown on page 3your income tax return). Name is required on this line; do not leave this line blank. Interworld Highway LLC 2 Business name/disregarded entity name, if different from above TEquipment, Touchboards, TechEDU, Thermal Camera Experts, Processing Control Experts, DocumentCamera 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Individual/sole proprietor or single-member LLC ✔ C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) ✔ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a P Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) 5 Address (number, street, and apt. or suite no.) See instructions. ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇ (Mailing: ▇▇ ▇▇▇ ▇▇▇▇) 6 City, state, and ZIP code ▇▇▇▇ ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 7 List account number(s) here (optional) Requester’s name and address (optional) **Remit to address for payments only: ▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇ Part I Taxpayer Identification Number (TIN) Employer identification number Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number or Under penalties of perjury, I certify that:
Appears in 1 contract
Sources: Vendor Agreement
Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Digitally 06/25/2020 Signature Date Confidentiality Claim Form rev 02272019 Document Ref: 8NSFL-AJLQY-LWZRV-9ZCJF Page 1 of 1 Document signed by: Signed with ▇▇▇▇▇▇▇▇.▇▇▇ PandaDoc is the document platform that boosts your company's revenue by accelerating the way it transacts. ▇▇▇▇▇▇ ▇▇▇▇▇▇ 1/20/2021 Signature Verified E-mail: ▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇ IP: 99.53.237.126 Date: 2021.02.16 18:01:37 -05'00' Date Confidentiality Claim Form rev 10012020RP 25 Jun 2020 19:15:30 UTC Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service a Go to ▇▇▇.▇▇▇.▇▇▇/▇▇▇▇▇▇ for instructions and the latest information. See Specific Instructions on page 3. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor or single-member LLC ✔ C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) C Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a S Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) Requester’s name and address (optional) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Under penalties of perjury, I certify that:
Appears in 1 contract
Sources: Vendor Agreement
Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. ▇▇▇▇▇ ▇▇▇▇▇▇ Digitally signed by ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇ 1/20/2021 10/14/2020 Signature Date: 2021.02.16 18:01:37 -05'002020.10.14 10:15:11 -04'00' Date Confidentiality Claim Form rev 10012020RP 02272019 Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service a Go to ▇▇▇.▇▇▇.▇▇▇/▇▇▇▇▇▇ for instructions and the latest information. See Specific Instructions on page 3. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor or single-member LLC ✔ C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) ✔ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a C Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) Requester’s name and address (optional) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Under penalties of perjury, I certify that:
Appears in 1 contract
Sources: Vendor Agreement
Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. ▇▇▇▇ ▇▇▇▇▇▇ Digitally signed by ▇▇▇▇ ▇▇▇▇▇▇ ▇▇ 1/20/2021 09-13-2020 Signature Date: 2021.02.16 18:01:37 -05'002020.09.13 14:22:30 -07'00' Date Confidentiality Claim Form rev 10012020RP 02272019 Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service a Go to ▇▇▇.▇▇▇.▇▇▇/▇▇▇▇▇▇ for instructions and the latest information. See Specific Instructions on page 3. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor or single-member LLC ✔ C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) ✔ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a P Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) Requester’s name and address (optional) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Under penalties of perjury, I certify that:
Appears in 1 contract
Sources: Vendor Agreement