12-Vendor Registration Form - Includes Conflict of Int and W9 Link.pdf
PDF 47 KB Posted
- Attached to
- Sports Medicine Exams & Certifications
- Solicitation number
- RFP 27-02-31
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Vendor Registration Form for the Tolleson Union High School District (TUHSD) in Arizona, which establishes the administrative requirements for vendors seeking to conduct business with the district. The form serves as a prerequisite for vendors to receive purchase orders and payment from TUHSD, though registration does not guarantee contractual awards. Vendors must complete the registration form and submit a current IRS W-9 form to the district's Purchasing Department at 9801 West Van Buren Street, Tolleson, Arizona 85353. The related contract opportunity involves providing comprehensive Certified Personal Trainer (CPT 7) curriculum, certifications, and exams for students enrolled in the district's Sports Medicine Program, with the vendor responsible for supporting student preparation, facilitating exam access, and assisting with credentialing processes.
The vendor registration form requires prospective vendors to provide detailed organizational information, contact details for sales and billing purposes, and to designate whether the company remits Arizona state sales tax and accepts purchase orders. Vendors must acknowledge multiple conditions upon signing, including that they will not provide goods or services without an authorized TUHSD Purchase Order, that all communication regarding purchase orders will be directed to the Purchasing Department, and that invoices must include the purchase order number and be submitted directly to TUHSD Accounts Payable at AP@tuhsd.org. All goods and services must be received by June 30 of each fiscal year. Vendors must also complete a conflict-of-interest statement disclosing any relationships with district employees or governing board members. Separate registration is required through the district's Bonfire Hub portal at https://tollesonuhsd.bonfirehub.com/portal/?tab=openOpportunities to be included on the TUHSD Bid List for formal competitive opportunities.
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Text version
VENDOR REGISTRATION FORM
https://www.tuhsd.org/purchasing
ORDER INFORMATION REMITTANCE ADDRESS INFORMATION
LEGAL NAME OF ORGANIZATION / INDIVIDUAL LEGAL NAME OF PAYEE
ORDER MAILING ADDRESS PAYMENT MAILING ADDRESS
ORDER MAILING ADDRESS 2 PAYMENT MAILING ADDRESS 2
ORDER CITY PAYMENT CITY
ORDER STATE ORDER ZIP PAYMENT STATE PAYMENT ZIP
ORDER PHONE NUMBER W/ EXT ORDER FAX NUMBER PAYMENT PHONE NUMBER W/ EXT PAYMENT FAX NUMBER
SALES CONTACT NAME BILLING CONTACT NAME
SALES EMAIL ADDRESS BILLING EMAIL ADDRESS
EMAIL ADDRESS FOR PURCHASE ORDERS WEBSITE ADDRESS
DO YOU REMIT ARIZONA STATE SALES TAX? DOES YOUR COMPANY ACCEPT PURCHASE ORDERS?
YES NO YES NO
NAME OF TUHSD STAFF WITH WHOM YOU ARE CURRENTLY WORKING: VENDOR CONFLICT OF INTEREST STATEMENT
ARE YOU A TUHSD DISTRICT EMPLOYEE?
YES IF YES, EXPLAIN:
A RELATIVE OF A TUHSD DISTRICT EMPLOYEE?
YES NO IF YES, EXPLAIN:
A MEMBER OR RELATIVE OF DISTRICT GOVERNING
YES NO IF YES, EXPLAIN:
DESCRIBE GOODS/SERVICES OFFERED:
VENDOR ACKNOWLEDGEMENTS BY SIGNING BELOW, I CERTIFY THAT:
1. I am duly authorized to certify the information requested herein.
2. To the best of my knowledge, the elements of the information provided herein are accurate and true as of this date.
3. My organization will comply with all applicable State statutes and Federal regulations that govern purchases from my company.
Filing of a Vendor Registration Application supplies information only and does not constitute an assumed obligation by Litchfield Elementary School District (TUHSD) to guarantee contractual awards or agreements to my organization.
4.
5. Updating information contained on this form is solely the duty of my organization.
6. My organization will not provide any product/service without first having in our possession an authorized TUHSD Purchase Order. No products/services will be provided based on a verbal promise of a Purchase Order or with the submission of a requisition for a Purchase Order. I understand that payment for any product/service provided without an authorized Purchase Order is not the responsibility of TUHSD and that I will have to obtain payment from the individual requestor.
7. My organization will direct all communication regarding TUHSD Purchase Orders to the TUHSD Purchasing Department.
8. My organization will provide the Purchase Order number on all invoices submitted to TUHSD I understand that invoices received without this information will not be paid. Email invoices to AP@tuhsd.org.
9. My organization will submit all invoices directly to TUHSD Accounts Payable and not to the requesting department or school.
10. All goods/services must be received by June 30 of each fiscal year. I understand that it is my responsibility to follow up on payment of invoices within 30 days.
11. This form allows TUHDS to issue PO's and payment to you. It does not provide inclusion in TUHSD Bid List. Register separately at https://tollesonuhsd.bonfirehub.com/portal/?tab=openOpportunities.
PRINTED OR TYPED NAME TITLE
SIGNATURE DATE
Please return this Vendor Registration Form and a current IRS W-9 (Click Here) Form to:
Tolleson High School District #214
Attn: Purchasing
9801 West Van Buren St.
Tolleson AZ 85353
Email: vendorforms@tuhsd.org
Questions? 623-478-4000
Last Update 6/11/2025 https://www.tuhsd.org/purchasing mailto:AP@tuhsd.org https://tollesonuhsd.bonfirehub.com/portal/?tab=openOpportunities https://www.irs.gov/pub/irs-pdf/fw9.pdf mailto:vendorforms@tuhsd.org
File details come from the government source that posted it. Updated .