16-Supplier Contact List Designation Form 09-2022.pdf

This is a Supplier Contact List Designation Form from the Clark County School District's Purchasing Department located in Las Vegas, Nevada. The form serves as an administrative document that establishes authorized contacts for suppliers conducting business with the school district. It functions as a contact management tool until the district receives written notice of changes and has reasonable time to process them. The form is organized into two main parts: Part 1 requests confirmation of company details including the company name, doing business as (DBA), vendor number, address, telephone, and email; Part 2 allows suppliers to add or modify up to two principal contacts, one sales representative/account manager, two accounts receivable contacts, and one technical contact, with each contact entry including fields for name, title, business address, phone, city/state/zip code, and business email.

The form establishes distinct roles and responsibilities for the authorized contacts based on their designation. Principal contacts serve as the primary point of contact for the company and have authority to add or update company information including bank account details for payment purposes. Account representatives or managers are authorized to request and provide purchase order and invoice transactional data. Accounts receivable contacts are limited to providing invoices and inquiring about payment status. Technical contacts may request file resends, inquire about file names and delivery information, and report system outages and issues. The form provides flexibility for each contact by allowing suppliers to indicate whether the contact's address is the same as the company address or if a separate business address should be listed.