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Docusign Envelope ID: 062EE61`4-331F-4A1F-8376-C61C41C9340B <br />Specifications <br />Table 1: Proposer Identity & Authorized Representatives (Not Scored) <br />General Instructions (applies to all Tables) Sourcewell prefers a brief but thorough response to each question. Do not merely attach <br />additional documents to your response without also providing a substantive response. Do not leave answers blank; respond "N/A" if the <br />question does not apply to you (preferably with an explanation). <br />Table 1 Specific Instructions. Sourcewell requires identification of all parties responsible for providing Solutions under a resulting master <br />agreement(s) (Responsible Supplier). Proposers are strongly encouraged to include all potential Responsible Suppliers including any <br />corporate affiliates, subsidiaries, D.B.A., and any other authorized entities within a singular proposal. All information required under this <br />RFP must be included for each Responsible Supplier as instructed. Proposers with multiple Responsible Supplier options may choose to <br />respond individually as distinct entities, however each response will be evaluated individually and only those proposals recommended for <br />award may result in a master agreement award. Unawarded entities will not be permitted to later be added to an existing master <br />agreement through operation of Proposer's corporate organization affiliation. <br />Line <br />Item <br />Question <br />Response* <br />1 <br />Provide the legal name of the Proposer <br />Michael Wade <br />authorized to submit this Proposal. <br />2 <br />In the event of award, is this entity the <br />Y <br />Responsible Supplier that will execute the <br />master agreement with Sourcewell? Y or N. <br />3 <br />Identify all subsidiaries, D.B.A., authorized <br />SimplyFuel Solutions <br />affiliates, and any other entity that will be <br />responsible for offering and performing delivery <br />of Solutions within this Proposal (i.e. <br />Responsible Supplier(s) that will execute a <br />master agreement with Sourcewell). <br />4 <br />Provide your CAGE code or Unique Entity <br />CAGE Code is: 1ZDQ3 <br />Identifier (SAM): <br />Unique Entity Ident # LTQFD9439T33 <br />5 <br />Provide your NAICS code applicable to <br />NAICS Code 561110-23 <br />Solutions proposed. <br />6 <br />Proposer Physical Address: <br />12621 Silicon Drive, Suite 113 <br />San Antonio, TX 78249 <br />7 <br />Proposer website address (or addresses): <br />www.ejward.com <br />www.simplyfuelsolutions.com <br />8 <br />Proposer's Authorized Representative (name, <br />Markay Ward, President <br />title, address, email address & phone) (The <br />12621 Silicon Drive Suite 113 <br />representative must have authority to sign <br />San Antonio, TX 78249 <br />the "Proposer's Assurance of Compliance" on <br />mward@ejward.com <br />behalf of the Proposer): <br />210.824.7383 <br />9 <br />Proposer's primary contact for this proposal <br />Michael Wade <br />(name, title, address, email address & phone): <br />Vice President, Sales and Marketing <br />12621 Silicon Drive Suite 113 <br />San Antonio, TX 78249 <br />mwade@ejward.com <br />210.912.3385 (cell) <br />10 <br />Proposer's other contacts for this proposal, if <br />Robert Kettyle <br />any (name, title, address, email address & <br />Chief Operating Officer <br />phone): <br />12621 Silicon Drive Suite 113 <br />San Antonio, TX 78249 <br />210.824.7383 x116 <br />rkettyle@ejward.com <br />Table 2: Financial Viability and Marketplace Success (50 Points) <br />Item Question Response* <br />Bid Number: RFP 081524 Vendor Name: E.J. Ward <br />