11-Payee_Data_Record_Supplement_(DPR-88).xls
XLS spreadsheet 226 KB Posted
- Attached to
- S25650009
- Solicitation number
- 0000038825
- Issued by
- Shasta County, Shasta CDP, Shasta Lake City, Mount Shasta City, California
About this file
This file is a Payee Data Record Supplement (DPR-88) form issued by the California Department of Parks and Recreation (DPR) for vendor registration and compliance purposes. The form serves as a supplementary documentation requirement for all current and potential vendors and suppliers conducting business with DPR, specifically to determine whether the vendor provides goods, services, or both. Vendors must complete the DPR-88 in conjunction with the mandatory STD. 204 Payee Data Record form and, when applicable, the STD. 205 Payee Data Record Supplement if remittance addresses differ from mailing addresses or if multiple remittance addresses exist. The form requires vendors to provide their legal business name, tax identification number, seller's permit or certificate of registration information, and confirmation of acceptance of the State's IT General Provisions or General Provisions for Non-IT Commodities as detailed on the DGS website. All documentation must be completed and uploaded into the FI$Cal system for review and approval before a vendor may commence business with the Department.
The DPR-88 requires vendors to disclose whether tangible goods will be provided as part of their business relationship with DPR. If goods are provided, vendors must either confirm they have no inventory or sales staff in California (requiring no additional attachments) or provide copies of their California seller's permit or certificate of registration. The form must be executed and signed by an authorized representative with all required boxes and fields completed. Original forms must be retained in the procurement file at the District or Section level. No specific pricing terms, contract amounts, or project-specific details are contained within this form, as it functions exclusively as a vendor qualification and data collection instrument rather than a contract agreement document.
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Text version
STD. 204&205 DGS hyperlink
| Click to hyperlink to DGS WEBSITE for STD 204 |
| REQUIRED for all vendors |
| Click to hyperlink to DGS WEBSITE for STD 205 |
| Additional: **STD. 205 Required if Remittance Address is different than Mailing Address or if Supplier has multiple Remittance Addresses |
Click to hyperlink to DGS WEBSITE for STD 204 Click to hyperlink to DGS WEBSITE for STD 205
DPR 88
| FOR DEPARTMENT USE ONLY | ||
| All suppliers doing business with the Department of Parks and Recreation must complete this form. | ||
| Vendor Information | ||
| Submission Checklist | ||
| Upon completion, submit to the requesting department listed in box/section 6 of the attached STD. 204: | ||
| STD. 204, Payee Data Record | ||
| STD. 205, Payee Data Record Supplement (If applicable) (Remit-to Address: different than Mailing, or multiple) | ||
| DPR 88, Payee Data Record Supplement - Goods vs. Services | ||
| Certificate of Acceptance | ||
| Authorized Representative - complete and sign (REQUIRED) | ||
| DPR 88 (Rev. 4/2021)(Excel 4/26/2021) |
State of California - Natural Resources Agency
DEPARTMENT OF PARKS AND RECREATION
PAYEE DATA RECORD SUPPLEMENT
GOODS VS. SERVICES
PAYEE'S LEGAL BUSINESS NAME (Type or Print)
DATE
PRINTED NAME
Seller's Permit (No.
Certificate of Registration (No.
TAX ID NUMBER
When doing business with the Department of Parks and Recreation I accept and will abide by the State's IT General Provisions or General Provisions Non-IT Commodities, as applicable, located on the internet at www.pd.dgs.ca.gov/modellang/GeneralProvisions.htm.
UPLOAD TO SUPPLIER
RECORD IN FI$Cal SUPPLIER ID. (If Known )
EXECUTED IN THE COUNTY AND STATE OF
No
NO ATTACHMENT NEEDED
- No inventory or sales staff in CA.
Will tangible goods be provided?
Attach:
Yes No additional attachments needed.
AUTHORIZED REPRESENTATIVE'S SIGNATURE
DPR 88 Instructions
| Complete all required information and return form to the requesting department listed in Box/Section 6 of the STD. 204. |
| DPR 88 (Instructions)(Rev. 4/2021) |
DPR 88, PAYEE DATA RECORD SUPPLEMENT (GOODS VS. SERVICES) INSTRUCTIONS
All current and potential vendors/suppliers must have completed both the STD. 204 and DPR 88 in its entirety prior to commencing business with the Department of Parks and Recreation (DPR). STD. 205 is optional dependent upon remittance information (see form for details).
Send DPR 88, STD. 204 (with section 6 pre-filled on the STD. 204), and STD. 205 to vendor/supplier for completion. Fill in Supplier ID if known in appropriate box in the top, right corner of the DPR 88. Once forms are returned, check for completeness. Resend to vendor/suppler if necessary until all information, signatures and attachments are included.
Once complete, upload into the FI$Cal Systems Supplier Record for FI$Cal review and approval.
Original forms must be retained in the procurement file at the District/Section level.
DPR 88 COMPLETION INSTRUCTIONS FOR VENDOR/SUPPLIER
DEPARTMENT INSTRUCTIONS
check when finished with each form If no tangible goods provided, skip to Authorized Representative Section.
If yes, complete the appropriate checkbox below If you do NOT have inventory or sales staff in CA, check here and no additional attachments are needed.
This section must be signed with all boxes/fields completed.
If you have inventory or sales staff in CA, choose appropriate checkbox, enter permit or certificate no. in space provided, & attach copy of permit/cert.
File details come from the government source that posted it. Updated .