ESBD_432148_1751314488707_02 - 3202500148 Attachment 2 Execution of Offer.pdf

ATTACHMENT 2 – EXECUTION OF OFFER

Respondent must complete the following information, sign, and return this page. By signing below, Respondent acknowledges receipt of all TWC Terms & Conditions in the RFO—including Attachment 1, agrees to provide the items/services described in this RFO, and agrees to abide by all TWC Terms & Conditions as specified in this RFO and in any Contract resulting from an award.

Any exceptions taken to the Terms & Conditions as set forth in this document must be identified in detail and accompany your response. Any exceptions not identified in detail at the time your response is submitted will not be considered. Please complete the following:

No exceptions taken OR

Yes, exception taken due to (state your reason(s)):

Solicitation Document

Solicitation Section

Solicitation Language to which Exception is Taken

Basis of Exception

Respondent's Proposed Language

Still Want to be Considered for Contract Award if Exception is Denied?

(State "Yes" or "No")

Please attach additional forms if additional space is needed. Please label any relevant pages with Attachment 2, and the RFO Number.

Signature of person authorized to make this agreement: _______________

Date Signed: ______________

Printed name of person signing above: ______________________________

RESPONDENT INFORMATION

Name of Respondent:

Mailing Address:

Billing Address (if differ rent from above):

City, State & Zip Code:

Phone No./Fax No.:

E-Mail Address:

Employer Identification No.:

Texas Identification No.:

In an effort to minimize identity theft, every company/individual MUST have an Employer Identification Number (EIN), also known as a federal tax identification number prior to award of a contract. For information on obtaining your EIN, you may call 800-829-4933 or visit the following website: https://www.irs.gov/businesses/small-businesses-self-employed/apply-for-an-employer-identification-number-ein-online.

The Texas Identification Number (TIN) is the payee identification number assigned and used by the Texas Comptroller of Public Accounts to process payment for goods/services. Enter this number in the space provided above.

If this number is not known, please visit https://mycpa.cpa.state.tx.us/coa/.

To obtain a TIN, please visit https://fmx.cpa.texas.gov/fm/pubs/payment/payee_setup/?s=forms_payee _maint&p=app_tin.

Check here if you are a sole ownership or partnership.

Check below to claim a preference under Statute:

Goods produced or offered by a Texas bidder that is owned by a Texas resident service-disabled veteran.

Goods produced in Texas or offered by a Texas bidder that is not owned by a Texas resident service-disabled veteran.

Agricultural products grown in Texas.

https://www.irs.gov/businesses/small-businesses-self-employed/apply-for-an-employer-identification-number-ein-online https://www.irs.gov/businesses/small-businesses-self-employed/apply-for-an-employer-identification-number-ein-online https://mycpa.cpa.state.tx.us/coa/ https://fmx.cpa.texas.gov/fm/pubs/payment/payee_setup/?s=forms_payee_maint&p=app_tin https://fmx.cpa.texas.gov/fm/pubs/payment/payee_setup/?s=forms_payee_maint&p=app_tin

Agricultural products offered by Texas bidder.

Services offered by a Texas bidder that is owned by a Texas resident service-disabled veteran.

Services offered by a Texas bidder that is not owned by a Texas resident service- disabled veteran.

Texas Vegetation Native to the Region.

USA produced supplies, materials or equipment.

Products of persons with mental or physical disabilities.

Products made of recycled, remanufactured, or environmentally sensitive materials including recycled steel.

Energy Efficient Products.

Rubberized asphalt paving material.

Recycled motor oil and lubricants.

Products produced at facilities located on formerly contaminated property.

Products and services from economically depressed or blighted areas.

Vendors that meet or exceed air quality standards.

Recycled or Reused Computer Equipment of Other Manufacturers.

Foods of Higher Nutritional Value.