Signed Contract
SIGNATURE FORM The undersigned hereby proposes and agrees to furnish goods andlor services in strict compliance with the terms, specifications and conditions at the prices quoted unless noted in writing. The undersigned further certifies that he or she is an officer of the company and has authority to negotiate and contract for the company named below. If addenda to this RFP are released, indicate the receipt of addenda by entering the number of addenda here: -N/A Prices are guaranteed for 365 days (minimum of 180 days) Company name Marsh USA, Inc. 1000 Main Street, Suite 3000 Address City/State/Zip Telephone No. Fax No. E-mail address Authorized signature , . - . . Printed name Position with company Sales representative's name Web site URL 2 '
.
Houston, TX 77002 713.276.8455 713.276.8577 [email protected] - j h d
yoin M. Albrecht Managing Director
-
'
David Martin
1Accepted by The Cooperative Purchasing Network: Tern of contract to Unless otherwise stated, all contracts are for a period of one (1)year with an option to renew annually for an additional four (4)years if agreed to by TCPN and the awarded Vendor. fees for any sales made based on a TCPN Contract A
2-1.10
!\31*1\
Date Print Name
Approved by Region 4 ESC by Date
Approved by Mary C. Obrien Accommodation School District by TCPN Contract No.
4935
Date
SIGNATURE FORM The undersigned hereby proposes and agrees to furnish goods andlor services in strict compliance with the terms, specifications and conditions at the prices quoted unless noted in writing. The undersigned further certifies that he or she is an officer of the company and has authority to negotiate and contract for the company named below. If addenda to this RFP are released, indicate the receipt of addenda by entering the number of addenda here: Prices are guaranteed for (minimum of 180 days) Company name Scott M. Favre, Public Adjuster, LLC Address 565 Gladstone CityIStateEip Waveland, MS Telephone No. (228) 486-5644 Fax No. (228) 466-5645 E-mail address [email protected] ~uthorizecisignature
f & /-
-
I
Printed name Cindy Favre Position with company President Sales representative's name Ty Simpson Web site URL
Accepbd by The Cooperative Purchasing Network: Term of contmct
2-I-10
Unless otherwise stated, all contracts are for a period of one (1) year with an option to renew annually for an additional four (4) years if agreed to by TCPN and the awarded Vendor. n fees for any sales made based on a TCPN Contract renewal or not. TCPN Authorized Signature
,
Date
Print Name
Approved by Region 4 ESC by Date
Approved by Mary C. Obrien Accommodation School District by TCpN Contract No.
U4q 36
Date
&
SIGNATURE FORM The undersigned hereby proposes and agrees to furnish goods and/or services in strict compliance with the terms, specifications and conditions at the prices quoted unless noted in writing. The undersigned further certifies that he or she is an officer of the company and has authority to negotiate and contract for the company named below. If addenda to this RFP are released, indicate the receipt 0 of addenda by entering the number of addenda here:
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prices are guaranteed for (minimum of 180 days) . ~
company name
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Telephone NO.
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Positionwith company Sales representative's name Web site URL
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Accepted by The Cooperative Purchasing Network:
Tenn of contract
2.2410
to
Unlessothervvlse stated, all cMltracts are for a penod of one (1) year with an option to renew annudly for an additional four (4) years if agreed to by TCW and the awarded Vendor. tion fees for any saies made based on a TCPN Contract
Date A
d
Print Name Approved by Rwon 4 ESC by
Date
8L'lo
Approved by Mary C. Obrien Accommodation School D i c t by TCPN Contract No.
A4946
RFP for Dlgltal Archlvlng for Plan Rooms # O S l 4
1111912009
Date
Page 21 d 28
.
Houston, TX 77002 713.276.8455 713.276.8577 [email protected] - j h d
yoin M. Albrecht Managing Director
-
'
David Martin
1Accepted by The Cooperative Purchasing Network: Tern of contract to Unless otherwise stated, all contracts are for a period of one (1)year with an option to renew annually for an additional four (4)years if agreed to by TCPN and the awarded Vendor. fees for any sales made based on a TCPN Contract A
2-1.10
!\31*1\
Date Print Name
Approved by Region 4 ESC by Date
Approved by Mary C. Obrien Accommodation School District by TCPN Contract No.
4935
Date
SIGNATURE FORM The undersigned hereby proposes and agrees to furnish goods andlor services in strict compliance with the terms, specifications and conditions at the prices quoted unless noted in writing. The undersigned further certifies that he or she is an officer of the company and has authority to negotiate and contract for the company named below. If addenda to this RFP are released, indicate the receipt of addenda by entering the number of addenda here: Prices are guaranteed for (minimum of 180 days) Company name Scott M. Favre, Public Adjuster, LLC Address 565 Gladstone CityIStateEip Waveland, MS Telephone No. (228) 486-5644 Fax No. (228) 466-5645 E-mail address [email protected] ~uthorizecisignature
f & /-
-
I
Printed name Cindy Favre Position with company President Sales representative's name Ty Simpson Web site URL
Accepbd by The Cooperative Purchasing Network: Term of contmct
2-I-10
Unless otherwise stated, all contracts are for a period of one (1) year with an option to renew annually for an additional four (4) years if agreed to by TCPN and the awarded Vendor. n fees for any sales made based on a TCPN Contract renewal or not. TCPN Authorized Signature
,
Date
Print Name
Approved by Region 4 ESC by Date
Approved by Mary C. Obrien Accommodation School District by TCpN Contract No.
U4q 36
Date
&
SIGNATURE FORM The undersigned hereby proposes and agrees to furnish goods and/or services in strict compliance with the terms, specifications and conditions at the prices quoted unless noted in writing. The undersigned further certifies that he or she is an officer of the company and has authority to negotiate and contract for the company named below. If addenda to this RFP are released, indicate the receipt 0 of addenda by entering the number of addenda here:
\ 10Au\/3
prices are guaranteed for (minimum of 180 days) . ~
company name
&\~ 5 4 . ~. 5- & - ,
ciistatel~ip
! T X 75aYP
D&S
Telephone NO.
4 7 .;~\67‘ ~ aV3n
?T
?L\
-* ih!. ASOO . cL' -
Positionwith company Sales representative's name Web site URL
\
. . + ~ g c t5 . c k , , , n
\ij~Eju:
Accepted by The Cooperative Purchasing Network:
Tenn of contract
2.2410
to
Unlessothervvlse stated, all cMltracts are for a penod of one (1) year with an option to renew annudly for an additional four (4) years if agreed to by TCW and the awarded Vendor. tion fees for any saies made based on a TCPN Contract
Date A
d
Print Name Approved by Rwon 4 ESC by
Date
8L'lo
Approved by Mary C. Obrien Accommodation School D i c t by TCPN Contract No.
A4946
RFP for Dlgltal Archlvlng for Plan Rooms # O S l 4
1111912009
Date
Page 21 d 28
