18-Supplier Contact List Designation Form 09-2022.pdf
PDF 66 KB Posted
- Attached to
- Chemistry and Honors Chemistry Textbook Adoption
- Solicitation number
- RFP 27003LMK
- Issued by
- Clark County, Nevada
About this file
This is a Supplier Contact List Designation Form issued by the Clark County School District Purchasing Department located in Las Vegas, Nevada. The form serves as an administrative document enabling the school district to maintain and update authorized business contacts for vendor companies conducting transactions with the district. The form does not specify products, services, quantities, response dates, contract terms, or renewal options, as it functions solely as a contact management tool rather than a procurement solicitation or contract document.
The form allows vendors to designate and modify up to two principal contacts, one sales representative or account manager, two accounts receivable contacts, and one technical contact. Each contact designation includes fields for name, title, business address, phone number, email, and confirmation of address information. Principal contacts are authorized to add or update company information including bank account details for payments; account representatives can request and provide purchase order and invoice data; accounts receivable contacts can manage invoices and payment inquiries; and technical contacts can request file resends and address system issues. The form remains valid until the district receives written notification of changes and has adequate time to process the updates. No pricing, set-asides, funding information, or contract-specific terms are addressed in this administrative form.
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Text version
Supplier Contact List Designation Form Purchasing Department
4212 Eucalyptus Avenue Bldg. 7 Las Vegas, NV 89121
Telephone: (702) 799-5225 Fax: (702) 799-5018
This form provides the Clark County School District with a list of contacts authorized to conduct various business activity on behalf of your company.
We can rely on this form until we receive written notice of a change and we have had reasonable time to act on it.
Part 1: Confirm your company details
Name:
DBA:
Vendor Number (CCSD Use Only) Address
City, State and Zip Code Telephone Email
Part 2: Add or Change contacts
Use this section to add or change principal contact, account representative/manager, accounts receivable and technical contact.
The principal contact is the person your company designates as supplier emails and phone calls. They have the authority to add/ update company information including bank account information for payments.
An account representative/ manager can request and provide purchase order and invoice transactional data.
An account receivable contact can provide invoices and inquire about payment status.
A technical contact can request file resends and inquire about files names and delivery information, incoming files and system outage and issues.
Name and title:
What do you want to do for this contact? Add Delete
Is the contact’s address the same as the company address? Yes No
Business address Business phone
City, State, Zip code Business email
Principal Contact #2
Principal Contact #1
Is the contact’s address the same as the company address?
Yes No
Business address Business phone
Is the contact’s address the same as the company address?
Yes No
Business address Business phone
Technical Contact
Accounts Receivable #2
Accounts Receivable #1
Sales Rep/Account Manager
| Supplier Contact List Designation Form |
| Part 1: Confirm your company details |
| Part 2: Add or Change contacts |
| Use this section to add or change principal contact, account representative/manager, accounts receivable and technical contact. |
File details come from the government source that posted it. Updated .