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Vendor’s Offer “Return this Section with your Response” Offeror must complete, sign and submit this form to the Procurement Office with the proposal response. An unsigned “Vendor's Offer’, late proposal response, and/or a materially incomplete response will be considered nonresponsive and rejected. Offeror is to type or legibly write in ink all information required below. A scanned copy of this page is acceptable. The Segal Company (Western States) Inc., d/b/a Segal Company Name: Company Purchase Order Mailing Address: 1501 West Fountainhead Parkway Suite 370 Street Address: City, State, Zip: Tempe, AZ 85282 Contact Person: _Mike Verdoorn Phone Number: _612.477.4331 E-mail Address: _mverdoorn@segalco.com Cell Number: _ 612.477.4331 Remit to Information The Segal Company (Western States) Inc. Company Name (as it appears on invoice): Company Payment Remit to Address: P. O. Box 4070 Church Street Station Street Address: City, State, Zip: New York, NY 10261 Company Tax Information If a Tempe-based firm, provide Tempe Transaction Privilege (Sales) Tax No.: 07450423 Payment Options Will your company accept the City’s Master Card for payment? Yes No Will your company accept Payment via ACH (Automated Clearing House) for payment? Yes X| No THIS PROPOSAL IS OFFERED BY REQUIRED SIGNATURE OF AUTHORIZED OFFEROR By signing this Vendor's Offer, Offeror acknowledges acceptance of all terms and conditions contained herein and that prices offered were independently developed without consultation with any other Offeror or potential Offeror. Failure to sign and return this form with proposal response will be considered nonresponsive and rejected. Michael Verdoorn November 1, 2023 Signature of Authorized Offer Date Ah be [At Michael Verdoorn Print or Type Name of Authorized Individual Title of Authorized Individual RFP# 24-040 Compensation & Classification Study 31 | Page