15-15. NEW VENDOR FORM.docx
DOCX document 54 KB Posted
- Attached to
- ALARM MONITORING & REPAIR SERVICES
- Solicitation number
- 27003
- Issued by
- Maricopa County, Arizona
About this file
This is a New Vendor Form submitted to Scottsdale Unified School District #48 in Arizona for RFP #27003 regarding Alarm Monitoring & Repair Services. The form is the standard vendor registration document required by SUSD's Purchasing Department and establishes the foundational vendor information and compliance acknowledgments necessary for participation in the procurement process. The solicitation seeks to establish a contract with qualified firm(s) to provide alarm monitoring and repair services to the school district. The form indicates a due date of April 28, 2026, and requires prospective vendors to complete comprehensive organizational and contact information, including legal entity details, payment information, and local representative designations.
Vendors submitting this form must acknowledge compliance with all state statutes and federal equal opportunity and non-discrimination requirements under Arizona Revised Statutes Title 41, Chapter 9, Article 4 and Executive Order Number 75-5. Critical contractual conditions include the mandatory requirement that vendors possess an authorized SUSD Purchase Order before providing any products or services, direct submission of all invoices to SUSD Accounts Payable with the corresponding Purchase Order number, and direction of all communications regarding Purchase Orders to the SUSD Procurement Office. The form requires vendors to certify the accuracy of information provided and acknowledge that filing the registration does not constitute a guaranteed contractual award. Vendors must also provide a completed W-9 form with their submission.
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Text version
Scottsdale Unified School District #48 New Vendor Form
Purchasing Department 9313 N. 95th Way Scottsdale, AZ 85258 480-484-6151
RFP #: 27003
PROJECT: ALARM MONITORING & REPAIR SERVICES
| ORDER INFORMATION |
| PAYMENT INFORMATION |
| LEGAL NAME OF ORGANIZATION / INDIVIDUAL |
| LEGAL NAME OF PAYEE |
| STREET ADDRESS |
| STREET ADDRESS |
| STREET ADDRESS 2 |
| STREET ADDRESS 2 |
| CITY |
| CITY |
| STATE |
| ZIP |
| STATE |
| ZIP |
| PHONE NUMBER W/ EXTENSION |
| FAX NUMBER |
| PHONE NUMBER W/ EXTENSION |
| FAX NUMBER |
| CONTACT NAME |
| CONTACT NAME |
| EMAIL ADDRESS FOR PURCHASE ORDERS (required) |
| EMAIL ADDRESS FOR ACCOUNTS RECEIVABLE (required) |
| WEB ADDRESS | |
| DOES YOUR COMPANY ACCEPT PURCHASE ORDERS? | |
| YES | NO |
UNIQUE ENTITY ID (formerly DUNS Number)
ARE YOU A SUSD EMPLOYEE?
YES NO IF YES, EXPLAIN:
LOCAL REPRESENTIVE NAME
RELATIVE OF SUSD EMPLOYEE?
| LOCAL REPRESENTATIVE CONTACT PHONE | ||
| YES | NO | IF YES, EXPLAIN: |
MEMBER OR RELATIVE OF SUSD GOVERNING BOARD?
LOCAL REPRESENTATIVE EMAIL
YES NO IF YES, EXPLAIN:
VENDOR ACKNOWLEDGEMENTS - BY SIGNING BELOW, I HEREBY ACKNOWLEDGE 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 State statutes and Federal equal opportunity and non-discrimination requirements and conditions of employment in accordance with A.R.S. Title 41, Chapter 9, Article 4 and Executive Order Number 75-5 dated April 28, 1975.
4. Filing of a Vendor Registration Application supplies information only and does not constitute an assumed obligation by Scottsdale Unified School District (SUSD) to guarantee contractual awards or agreements to my organization.
5. Updating information contained on this form is solely the duty of my organization.
6. My organization will not provide any product or service without first having in our possession an authorized SUSD Purchase Order. No products or 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 or service provided without an authorized Purchase Order is not the responsibility of SUSD and that I will have to obtain payment from the individual requestor.
7. My organization will direct all communication regarding SUSD Purchase Orders to the SUSD Procurement Office.
8. My organization will provide the Purchase Order number on all invoices submitted to SUSD. I understand that invoices received without this information will not be paid.
9. My organization will submit all invoices directly to SUSD Accounts Payable and not to the requesting department or school.
| PRINTED OR TYPED NAME |
| TITLE |
| SIGNATURE |
| DATE |
Please Include a copy of your W-9 form.
RFP #: 27003 Page 1 of 1 Due: April 28, 2026 image1.png
File details come from the government source that posted it. Updated .