Arkansas State University Procurement Services Post Office Box 1860 State University, Arkansas 72467

Transcription

1 Arkansas State University Procurement Services Post Office Box 1860 State University, Arkansas Phone (870) Fax (870) Dear Vendor: Thank you for your interest in selling to Arkansas State University. To be placed on the bidders' list for Arkansas State University you must complete the Bidder s Application Form, W9, and Vendor Information Request Form and a signed Restriction of Boycott of Israel Certification Form. Return it along to: Arkansas State University Procurement Services Attn: Bid List P. O. Box 1860 State University, AR Fax: procurement@astate.edu Upon receipt of the completed application, a determination will be made as to your company's eligibility and, if eligible, will be placed on the bidders' list. Incomplete or incorrectly completed applications will not be processed. An approved vendor will remain on the list until such a time that: three (3) no bid/no responses are accrued as a result of a bid solicitation; mail is returned for any reason; or, the vendor is removed from the list for cause. Note: Being placed on the bidders' list does not insure any subsequent contract award. The bidders' list for Arkansas State University is used for two purposes, by law for Competitive Sealed Bids/Requests for Proposals over $75, and, at times, for reference when searching for providers of a particular commodity or service. All solicitations for Competitive Sealed Bids/Requests for Proposals are posted to our website at No gifts or gratuities of any kind or nature, regardless of value, will be accepted from a business or vendor by any individual employed in the Procurement Services Department. This includes payment, loan, subscription, advance, deposit of money, services, or anything of value, present or promised. This also includes any tangible or intangible benefit in the nature of gifts, favors, entertainment, discounts, passes, transportation, accommodation, hospitality or offers of employment.

2 BIDDERS MAILING LIST APPLICATION FORM Return to: Arkansas State University-Jonesboro Procurement Services P. O. Box 1860 State University, AR Telephone: (870) Fax: (870) Name of Business: Street or P.O. Box: City: State: Zip Code: - Fax: Telephone: Toll Free: Address: 2. Federal Employer I.D. Number: (Social Security Number if applicant is an individual) 3. Ownership of Business: IS THIS A MINORITY OWNED BUSINESS? YES NO Minority business enterprise means a business that is at least fifty-one percent (51%) owned by (1) or more minority persons who are lawful permanent residents of the State of Arkansas. African American Hispanic American American Indian Asian American Pacific Islander American Woman-owned business enterprise Service-disabled Veteran (designated by the US Dept. of Veteran s Affairs) 4. Do you qualify as a one of the following: Small Business (SB) Small Disadvantaged Business (SDB) Woman Owned Small Business (WOSB) Veteran Owned Small Business (VOSB) Service Disabled Veteran Owned Small Business (SDVOSB) 5. What commodity or services does your company offer? I, the undersigned, hereby certify that the information submitted in this application is a full, true, and correct statement of the facts. I agree to faithfully abide by the Purchasing Laws of the State of Arkansas and regulations of the Department of Finance and Administration now in effect and any subsequent revisions thereof. I also understand and agree that it is my responsibility to inform Arkansas State University in writing of any changes to this application, that returned correspondence or three (3) no bid/no response will remove me from the bidders list. Signature: Date: NOTICE BIDDER IS RESPONSIBLE FOR UPDATING THE ABOVE INFORMATION. BIDS RETURNED TO THE UNIVERSITY FOR INCORRECT ADDRESS WILL CAUSE BIDDER TO BE REMOVED FROM THE BIDDERS MAILING LIST.

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5 RESTRICTION OF BOYCOTT OF ISRAEL CERTIFICATION Pursuant to Arkansas Code Annotated , a public entity shall not enter into a contract valued at $1,000 or greater with a company unless the contract includes a written certification that the person or company is not currently engaged in, and agrees for the duration of the contract not to engage in, a boycott of Israel. By signing below, the Contractor agrees and certifies that they do not currently boycott Israel, and will not boycott Israel during any time in which they are entering into, or while in contract, with the Arkansas State University-Jonesboro. If at any time after signing this certification the contractor decides to engage in a boycott of Israel, they must notify the Arkansas State University-Jonesboro in writing. If the Contractor currently boycotts Israel, or engages in the boycott of Israel while in contract with the Arkansas State University-Jonesboro, see Arkansas Code Annotated Description of product or service Contractor name Contractor Signature: Signature must be hand written, in ink Date:

6 COMMODITY CLASS/ SUB-CLASS LISTING

7 Commodity Class Abrasives 005 Acoustical Tile, Insulation, Insulating Materials & Supplies 010 Addressing, Copying & Duplicating Machine Supplies 015 Agricultural Implements, Accessories & Parts 020 Air Compressors & Accessories 025 Air Conditioning Equipment & Accessories 030 Airplanes, Helicopters, Parts & Equipment 035 Animals & Livestock 040 Appliances & Equipment: Household 045 Artist Equipment & Supplies 050 Automobile & Truck Accessories 055 Automobile & Truck Maintenance Items & Parts 060 Automotive Bodies & Accessories for Trucks 065 Automotive Major Transportation Equipment 070 Automotive Shop Equipment & Supplies 075 Badges, Buttons & Pins: Identification 080 Bags, Bagging & Ties 085 Bakery Equipment: Commercial 090 Barber & Beauty Shop Equipment & Supplies 095 Barrels, Drums, Kegs & Pail Type Containers 100 Belts & Belting 110 Boats, Motors & Marine & Wildlife Supplies 115 Book Binding & Bindery Supplies 120 Book Binding, Rebinding & Repairing 125 Bricks & Other Clay Products, Refractory Materials & Stone Products 130 Broom, Brush & Mop Manufacturing Machinery & Supplies 135 Brushes 140 Builders' Supplies 145 Buildings: Fabricated 150 Butcher Shop & Meat Processing Equipment 155 Cafeteria & Kitchen Equipment: Commercial 160 Chemical Laboratory Equipment & Supplies 175 Chemicals: Commercial 190 Clocks, Timers, Watches 7 Jewelers' & Watchmakers' Tools & Equip. 195 Clothing & Apparel 200 Computer Hardware, Software & Accessories 205 Concrete Products & Supplies 210 Controlling, Indicating & Recording Instruments & Supplies 220 Coolers: Drinking Water 225 Craft Supplies: General 230 Craft Supplies: Specialized 233 Culverts & Pipe: Corrugated Metal 235 Cutlery, Dishes, Flatware, Glassware & Utensils 240 Dairy Equipment & Supplies 245 Dental Equipment & Supplies 260 Draperies, Curtains & Upholstery 265 Drugs, Pharmaceuticals & Biologicals (Human Use) 270 Electrical Cables & Wires (Not Electronic) 275 Electrical Equipment & Supplies 280 Energy Economizing Equipment & Accessories 285 Elevators: Building 290 Engineering & Surveying Equipment & Supplies 300 Epoxy-Based Formulations: Two Component 310 Fastening, Packaging & Tying Equipment & Supplies 315 Feed & Bedding: Animal & Fowl 320 Fencing 325 Fertilizers & Soil Conditioners 330 Fire Protection Equipment & Supplies 335 First Aid & Safety Equipment 340 Flags, Flag Poles, Banners & Accessories 345 Floor Covering 350 Floor Covering Fabric & Insulation Supplies 355 Floor Maintenance Machines 360 Food Processing & Canning Equipment 365 Foods: Bakery Products (Not Frozen) 370 Foods: Dairy Products (Fresh) 375 Foods: Staples 380 Foods: Freeze-Dried, Frozen Prepared (Convenience) 385 Foods: Perishable 390 Foundry Castings, Equipment & Supplies 400 Fuel, Oil & Grease 405 Furniture: Hospital 410 Furniture: Laboratory 415 Furniture: Non-Office 420 Furniture: Office 425 Gases: Hospital, Laboratory, Welding 430 Germicides & Antiseptics: Hospital 435 Glass & Glazing Supplies 440 Hand Tools Not Otherwise Classified 445 Hardware & Allied Items 450 Heating Units, Ventilating Equipment & Accessories 455 Hose & Accessories 460 Hospital Equipment: General 465 Hospital Equipment: Invalid 470 Hospital Supplies 475 Insurance 478 Intercom & Other Sound Equipment & Electronic Components, 480 Parts & Accessories Janitorial Supplies 485 Laboratory Equipment: Analysis & Research 490 Laboratory Equipment: Specialized 493 Laboratory Supplies 495 Laundry & Dry Cleaning Equipment: Commercial 500 Laundry & Dry Cleaning Supplies 505 Lawn Equipment 515 Leather Goods, Shoe Findings, Harnesses & Saddles 520 Library Machines & Supplies 525

8 Luggage & Briefcases 530 Lumber: Treated 535 Lumber, Plywood, Pressboard, Sheetrock, Shingles, Siding 540 Machinery & Heavy Hardware 545 Markers, Plaques, Signs & Traffic Control Devices 550 Marking Devices 555 Material Handling Equipment & Related Items 560 Mattress Manufacturing Machinery & Supplies 565 Metals: Bars, Plates, Rods, Sheets, Tubing, Etc. 570 Microfilm & Microfilming Equipment & Supplies 580 Nails & Wire Products 585 Notions & Sewing Supplies 590 Nursery & Greenhouse Supplies 595 Office Machines, Equipment & Accessories 600 Office Mechanical Aids & Small Machines 605 Office Supplies: Carbon Paper, Ribbons 610 Office Supplies: General 615 Office Supplies: Erasers, Inks, Leads, Pens, Etc. 620 Optical Equipment & Supplies 625 Paint, Varnish, Wallcoverings & Related Products 630 Painting Equipment & Accessories 635 Paper & Plastic Products: Disposable 640 Paper: Office, Print Shop 645 Park, Playground & Swimming Pool Equipment 650 Photographic Equipment & Supplies 655 Pipes, Snuff & Tobacco 660 Plastic, Forming, Laminating & Molding Equipment 665 Plumbing Equipment, Fixtures & Supplies 670 Poisons: Agricultural, Industrial 675 Police Equipment & Supplies 680 Poultry Equipment & Supplies 685 Poultry: Live 690 Printing: Books, Catalogs, Magazines, Pamphlets, Brochures, Posters 693 Printing: Bags, Cards, Coupons, Decals, Envelopes, Flat Forms, 695 Labels, Stamps, Tickets, Etc. Printing: Envelopes, Forms, Mailers (Stock & Custom Continuous) 697 Printing Plant Equipment & Supplies 700 Printing Preparations: Etching, Photoengraving, Typesetting, Mats, 705 Negatives & Plates Prosthetic Devices, Hearing Aids & Auditory Testing Equipment 710 Pumps & Accessories 720 Radio & Television Equipment & Accessories 725 Radio, Television & Electronic Testing, Measuring & Analyzing 730 Equipment & Accessories Rags, Shop Towels & Wiping Cloths 735 Refrigeration Equipment & Accessories 740 Road & Highway Building Materials: Asphaltic 745 Road & Highway Building Materials: Not Asphaltic 750 Road & Highway Equipt: Asphalt & Concrete Handling & Processing 755 Road & Highway Equip: Earth Handling, Grading, Moving, Packing 760 Road & Highway Equipment Not Otherwise Classified 765 Roofing: Non-Wood 770 Salt 775 Scale & Weighing Apparatus 780 Services: Accounting Services 10 Aerial Application of Herbicides & Insecticides 12 Automobile Repair Services, Mechanical 13 Charter Services 15 Consulting Services, Marketing & Research Services 17 Messenger/Courier Services 18 Economic & Medical Services 20 Exterminating Services 23 Financing, Third Party 25 Food Service & Catering 26 General Contracting Services (not parts): Plumbing, Electrical, Etc. 27 Harvesting Services: Grain, Acorns, Etc. 28 Hazardous Materials Transportation Services 29 Hazardous Spill Cleanup Services 30 Janitorial Services 35 Keypunch (Word Processing/Computer Input) Services 40 Landscaping Services 45 Laundry Services 47 Leasing, Third Party 48 Microfilm/Fiche Services 50 Mobile Home Moving 55 Moving Services, General 57 Outboard/Inboard Boat Motor Repair Services 60 Paint & Body Shop Services, Automotive 65 Production of Publications & Visual Aids 70 Security Guard Services 72 Telemarketing Services 73 Travel Services 75 Trucking & Hauling Services ( for Hazardous Materials Hauling) 80 Waste Disposal Services 85 Water Treatment Services School Equipment & Supplies 785 Seed, Sod, Soil & Inoculants 790 Sewing Room & Textile Machinery & Accessories 795 Shoes & Boots 800 Sporting & Athletic Goods 805 Spraying Equipment 810 Steam & Hot Water Specialties & Accessories 815 Steam Boilers, Steam Heating & Power Plant Equipment 820 Stockman's Supplies 825 Tanks: Mobile, Portable, Stationary 830 Tarpaulins & Tents 835 Telecommunications Equipment & Accessories: Voice, Data 840

9 Testing & Training Equipment & Supplies 845 Textiles: Piece Goods, Household Linens, Etc. 850 Theatrical Equipment & Supplies 855 Tires & Tubes 860 Twine 865 Venetian Blinds, Awnings & Shades 870 Veterinary Equipment & Supplies 875 Visual Education Equipment & Supplies 880 Water Treating Chemicals 885 Water Supply & Sewage Treatment Equipment 890 Welding Equipment & Supplies 895 X-Ray Equipment & Supplies: Medical 900