Washougal School District

Hathaway ES Access Control Upgrade

June 2021

Proposal Response Form #1 – Company Information

Instructions: Complete the information below.

Submitted by: (Company Name)	Click here to enter text.
Address:	Click here to enter text.
Address:	Click here to enter text.
City, State. Zip	Click here to enter text.
Contact Name:	Click here to enter text.
Contact Phone Number:	Click here to enter text.
Contact Fax Number:	Click here to enter text.
Website:	Click here to enter text.
FEIN:	Click here to enter text.
Dun & Bradstreet (DUNS) Number (if available):	Click here to enter text.
SPIN # for E-Rate (if applicable)	Click here to enter text.

Respondent’s legal entity status (mark the appropriate checkbox below):

☐ A corporation organized and existing under the laws of the State of Washington
☐ A partnership consisting of Number of Partners, Partners: List Partners
☐ A sole proprietor
☐ Other, Click here to enter text.

Respondent’s Washington status (mark the appropriate checkbox below):

☐ Is instantiated by virtue of the laws of the State of Washington
☐ Is licensed to do business in the State of Washington as a foreign corporation
☐ Is not licensed to do business in the State of Washington as a foreign corporation