DISTRICT SCHOOL BOARD OF PUTNAM COUNTY BIDDERS MAILING LIST APPLICATION

Transcription

1 DISTRICT SCHOOL BOARD OF PUTNAM COUNTY BIDDERS MAILING LIST APPLICATION Mail To: Telephone Number Purchasing Department Putnam County Blvd. Fax Number East Palatka, Florida Vendor No Assigned: For Procurement Use Only Date Assigned: Name of Business: This name will be used on purchase orders and checks issued to your company. Website Address Federal Employer Identification Number If None Signature - - _ - Contact Number: Telephone Number/Toll Free Number Fax Number (Order Department) Contact Person: Name Registered Organization Type: Sole Proprietorship/Individual Fictitious Name Out of State Corporation In-State Corporation Non-Profit Organization Partnership Exempt from Registration Bondable yes no Owner/Gender Classification: African American Hispanic Asian American American Indian/Alaskan Native Female Other Type of Business: Manufacturer/Producer Wholesaler Retailer Manufacturer s Agent Service Establishment Jobber Distributor Agent, Representative or Employee Authorized to transact business on behalf of entity/firm: Name and Title Address Name and Title Telephone Number Revised: 08/11/2011 1

2 Are any Officers, Owners or Partners employees of the District School Board of Putnam County? Yes No References Customers: Financial References: Certification: I certify the information supplied herein, including all pages attached, is correct and that neither the applicant nor any person (or concern) in any connection with the applicant as a principal officer so far as is known, is now debarred or otherwise declared ineligible by the State of Florida or the District School Board of Putnam County to bid on furnished materials, supplies, or services for the School Board or any agency thereof. Note: Failure to respond to three consecutive bid requests may be cause for suspension from bidder s mailing lists. All applications are subject to review and investigation prior to validation for placement on approved bidder s mailing lists. Signature Title Date Revised: 08/11/2011 2

3 COMMODITIES: Please mark only those categories for goods and services which are the firm s normal business activities and which you wish to receive bid requests. Check the box(s) closest to the commodity that you offer. DO NOT write in your own commodity. A C Accounting/Auditing Services Acoustical Tiles Acrylic Coating for Outdoor Sports Agricultural Equipment and Supplies Air Conditioning Equipment and Supplies Air Conditioning Ventilation, Ducting Equipment and Supplies Appliances, Household Aquatic Control Services Architectural Services Armored Car Services Art Equipment and Furniture Art Paper Products Arts and Crafts Supplies Asbestos Abatement Consulting Services Asbestos Abatement Contractor Services Asphalt Maintenance and Repair Athletic Grounds Maintenance Athletic/Physical Education Equipment and Supplies Athletic/Physical Education Equipment Inspections and Repair\ Athletic Training Equipment Auctioneering Services Audio Visual/Video Equipment and Supplies Audio Visual/Video Equipment Repair Services Auditory Training Equipment Automotive Batteries Automotive Equipment and Supplies Automotive Parts and Accessories Automotive Repair Service Awards and Incentives Cafeteria Hood Ventilation Inspections and Cleaning Carpentry Services Carpentry Supplies Carpet Carpet Cleaning Services Chalkboards, Tackboards and Markerboard Charter Bus Service Chillers and Cooling Towers Classrooms and Office Equipment Classroom and Office Equipment Repair Services Classrooms and Office Furniture Classroom and Office Paper Products Classroom and Office Supplies Closed Circuit Television Parts, Accessories and Services Coffee Service Communications Equipment Compactor, Trash Computer Hardware, Peripherals, Software and Supplies Computer Networking Services Computer Repair Parts Computer Repair Services Computer Training Services Construction Paper Copier Rentals Cosmetology Equipment and Supplies Custodial Cleaning Services Custodial Equipment Custodial Paper Products Custodial Supplies B D Backflow Prevention Inspections and Repair Bakery Products Band Uniforms Banking Services Batteries, Dry Cell Beverage Services Bleacher Repair Blueprint Printing Services Boilers, Gas and Water Bond Paper Building Contractors Building Materials Data/Communication Wiring (Retrofit) Day Care/Pre-School Services Demolition Services Dental Equipment and Supplies Detergents, Food Service Diplomas Drafting/Industrial Arts Furniture Drapes and Stage Curtains Revised: 08/11/2011 3

4 E I Electrical Contractor Electrical/Electronic Equipment Electrical/Electronic Supplies Elevator/Wheelchair Lift Services, Repair, Inspection and Recertification Emergency Medical Equipment and Supplies Employee Benefits Consulting Services Energy Management Services Engineering Services Environmental Remediation Services Environmental Services Equipment Rentals, Industrial F Fencing Fertilizer Fire Alarm Equipment and Supplies Fire Alarm/Security Monitoring Services Fire Protection Equipment and Supplies Fire Sprinkler/Pump Inspections and Repair Fire Suppression System Inspections and Maintenance First Aid/Clinic Equipment and Supplies Flags, Flagpoles and Accessories Food Service Equipment Large Food Service Equipment Small Food Service Paper Products Foods, Direct Delivered Freon, Refrigeration Frozen Desserts Fuels, Gasoline and Diesel Fuel G Glazier Materials and Services Grease Trap Cleaning Grounds Keeping Equipment and Supplies Gymnasium Floor Refinishing H Hand Tools Hazardous Materials Disposal Heating Equipment and Supplies Home Economics Equipment and Supplies Hurricane Shutters HVAC Repair Services HVAC Test and Balance Services Ice Machines Identification Systems Industrial Heavy Equipment Industrial Arts Equipment Supplies Instructional Aids Instructional Materials Insurance Accident Insurance Boiler and Machinery Insurance Consulting Services Insurance Errors and Omissions Insurance Excess Property Insurance Excess Workers Compensation Insurance Fringe Benefits Insurance Health Insurance Intern Accident Insurance Liability and Corrective Action Insurance Miscellaneous Commercial Insurance Property Liability Insurance School Board Liability Insurance Sexual Misconduct Liability Insurance Storage Tank Insurance Student Insurance Workers Compensation Irrigation Equipment and Supplies Irrigation Services ITFS Equipment and Supplies ITSF System Repair Services L Landscape Design Services Landscaping Services and Supplies Laundry Equipment and Supplies Law Enforcement Equipment and Supplies Lawn Maintenance Services Leak Detection Services, Domestic Water Legal Services Library Books Library Materials Lift Station Inspections and Repair Locksmith Parts, Accessories and Services Lockers and Parts Lubricants, Motor Oil and Automatic Transmission Fluids M Maps, Globes and Charts Marketing Services Marine Mechanics Equipment and Supplies Material Handling Equipment and Supplies Medical Equipment and Supplies Medical/Nursing Services Revised: 08/11/2011 4

5 M S Metal Fabrication Services Microbial Remediation Microfiche/Microfilm Equipment and Supplies Microfiche/Microfilming Services Milk, Dairy Products, Milk Shake Mix and Juice Mini-Blinds and Verticals Moving Relocatable Buildings and Trailers Moving Services Musical Instruments and Accessories Musical Instrument Repair O OT/PT Services Overhead Door Repairs P Pager Rentals Pagers/Cellular Telephones Paint and Paint Supplies, Industrial Painting Contractors Painting Equipment and Accessories, Industrial Pest Control Chemicals Pest Control Equipment and Supplies Pest Control Services Pesticides Grounds Maintenance Physical Therapy Equipment and Supplies Pigeon Control Services Playground and Park Products Playground Equipment Inspections and Repair Plumbing Contractors Plumbing Equipment and Supplies Portable Classroom Rentals Power Tools Pressure Washing Services Printing Equipment and Supplies Printing Services Professional Books Professional Materials Public Address Equipment and Supplies Safety Equipment and Supplies Sand, Golf Course School Bus Batteries School Bus Printing Services School Bus Parts and Accessories Science Equipment and Supplies Security Contracts Security Equipment and Supplies Sheet Music Shelving Sign Equipment and Supplies Sign Language Services Soils and Materials Testing Services Solar Film Speech Therapy Services Special Student Transportation Stage Equipment Storage Trailer Rentals Structural Engineering Services T Teaching Aids Telecommunications Equipment and Peripherals Temporary Employment Services Tennis Court Resurfacing Testing Materials Testing services Evaluator Tires and Service Towers, Broadcasting and Microwave Training Materials Transmissions Tree Trimming and Removal Services Turf Maintenance Materials Tutoring Services U Uniforms V R 975 Vehicles Radios, Two Way Refrigeration Equipment and Supplies Resilient Floor Tile and Linoleum Resuscitation Training Aids Road Building Materials Roof Cleaning Services Roofing Consulting Services Roofing Contractor Roofing Materials W Water Treatment Services, Chillers/Boilers Welding Equipment and Supplies Well Drilling/Capping Services Revised: 08/11/2011 5