17-14. NEW VENDOR FORM.docx

DOCX document 54 KB Posted

Attached to
STUDENT IDENTIFICATION CARDS, PRINTERS, & SUPPLIES
Solicitation number
27000
Issued by
Maricopa County, Arizona

About this file

This is a New Vendor Form for Scottsdale Unified School District #48 in Arizona, issued in conjunction with Invitation for Bid (IFB) #27000 for Student Identification Cards, Printers, and Supplies. The form is due by April 15, 2026, and serves as the vendor registration document required for organizations seeking to do business with the district. The form collects standard vendor information including legal organization name, address, contact details, payment information, and local representation data. Prospective vendors must confirm their authorization to provide products and services and acknowledge that no work may commence without an authorized SUSD Purchase Order.

The form requires vendors to certify compliance with Arizona Revised Statutes Title 41, Chapter 9, Article 4, and Executive Order 75-5 regarding equal opportunity and non-discrimination requirements. Vendors must confirm they will not provide products or services without an authorized Purchase Order and will direct all communications to the SUSD Procurement Office. Invoices must include the Purchase Order number and be submitted directly to SUSD Accounts Payable rather than requesting departments. A completed W-9 form must accompany the vendor registration. The form includes acknowledgment sections addressing vendor authorization, information accuracy, compliance obligations, and understanding that vendor registration does not guarantee any contractual award.

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Text version

Scottsdale Unified School District #48 New Vendor Form

7575 E. Main Street Scottsdale, AZ 85251 480-484-6151

IFB #: 27000

PROJECT: STUDENT IDENTIFICATION CARDS,

PRINTERS, & SUPPLIES

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
WEB ADDRESS
DOES YOUR COMPANY ACCEPT PURCHASE ORDERS?
YESNO

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
YESNOIF 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.

IFB #: 27000 Page 1 of 1 Due: April 15, 2026 image1.png

File details come from the government source that posted it. Updated .