2-New Vendor Request Form.pdf
PDF 353 KB Posted
- Attached to
- Custodial Supplies & Small Equipment
- Solicitation number
- RFP 26-27-12
- Issued by
- Cameron County, Texas
About this file
This is a New Vendor Request Form utilized by Los Fresnos Consolidated Independent School District (LFCISD) in Texas to onboard vendors for procurement purposes. The form is designed to establish an approved vendor list for Custodial Supplies & Small Equipment, which includes cleaning chemicals, paper products, trash can liners, disinfectants, floor care products, vacuums, buffers, scrubbers, and related custodial tools and equipment to support the district's maintenance and operational needs on an as-needed basis. Prospective vendors must complete the comprehensive form with required legal entity information, tax identification details, and contact information, and submit it along with a W-9 form (one year old or less), a justification form with supporting documentation, and any applicable vendor certifications. For unapproved vendors with estimated purchases exceeding $10,000, a Purchasing Justification Form and three quotes or shopping carts with pricing information are mandatory.
The form requires vendors to indicate the estimated purchase amount and specify whether they are replacing an existing vendor. Vendors may be sourced through various cooperative contracts and purchasing consortiums including Region I, Region II (Goodbuy), Buyboard, OMNIA, DIR, TXMAS, CSP/RFP, Choice Partners, TIPS, PACE, HGAC BUY, GPA, Equalis Group, Sourcewell, and CTPA. All documentation must be submitted to LFCISD's Purchasing Office at purchasing@lfcisd.net, and the district requires vendors to complete additional compliance forms including Form 1295, Conflict of Interest Questionnaire (CIQ), and vendor certifications. The form was last updated November 15, 2023.
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Text version
NEW VENDOR REQUEST FORM
(Complete legal name required)
Inc. Corp. LLC Partnership
Employee/Employee Id #
Other:
Please check one: EIN or SSN
Correspondence address:
(PO): City/State/Zip Code:
Contact person:
Area code/Phone: Area Code/Fax:
E-mail address (PO):
Vendor Co-Op & Contract # __________________________________________________________ (Region I, Region II (Goodbuy), Buyboard, OMNIA, DIR, TXMAS, CSP/RFP, Choice Partners, TIPS, PACE, HGAC BUY, 1 GPA, Equalis Group, Sourcewell, CTPA)
Updated 11-15-23
Please e-mail this form, W9 (1 year old or less), & Justification Form (with backup as applicable) to the Purchasing Office purchasing@lfcisd.net. ALL ABOVE INFORMATION IS REQUIRED IN ORDER TO
PROCESS REQUEST.
Is this vendor replacing an existing vendor? If so, provide vendor #: __________________
Estimated amount of purchase $
REQUESTOR NAME: CAMPUS/DEPT:
PHONE NUMBER: E-MAIL:
Company Name:
Federal tax classification:
Tax identification number:
Payment address if different from W-9: _____________________________________________
City/State/Zip Code: ______________________________________________________ FOR LFCISD STAFF USE ONLY: State justification for adding new vendor (must include reason and which approved vendors you have reached out to). For an unapproved vendor, if purchase is over $10,000 please include Purchasing Justification Form & 3 quotes/shopping carts/price info as applicable.
(Previously used vendor #) mailto:purchasing@lfcisd.net licantu Highlight
| New Vendor Request Form 11-15-23.pdf |
| _New Vendor Packet 11-1-23.pdf |
| New Vendor Request Form 11-1-23.pdf |
| ACH form 11-1-23.pdf |
| Form W-9.pdf |
| Vendor Certifications, CIQ, 1295, & COLI 11-1-23.pdf |
| _LFCISD Required Proposal Forms Template for Bids2.pdf |
| The following provisions are required and apply when federal funds are expended by Los Fresnos CISD, and/or its cooperative members, for any contract resulting from this procurement process. |
| _Form 1295.pdf |
| Form 1295 Changes.pdf |
| _Form CIQ Conflict of Interest Questionaire.pdf |
| coi-example.pdf |
| COMPANY NAME: |
| address: |
| CORRESPONDANCE ADDRESS PO: |
| EIN/SS: |
| CONTACT PERSON: |
| AREA CODEPHONE: |
| AREA CODEFAX: |
| EMAIL ADDRESS PO: |
| ESTIMATED AMOUNT OF PURCHASE: |
| PLEASE STATE JUSTIFICATION FOR ADDING NEW VENDOR: |
| REQUESTOR NAME: |
| CAMPUSDEPT: |
| PHONE NUMBER: |
| EMAIL: |
| Check Box43: Off |
| Check Box44: Off |
| Text1: |
| Text2: |
| Employee ID: |
| Text5: |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
| Text11: |
| Text3: |
| Text4: |
File details come from the government source that posted it. Updated .