2-VENDOR INFORMATION CREATESUPPLIER02112026REV3.pdf

This is a vendor information and supplier creation form for Louisville Metro Government (LMG) in Kentucky, specifically related to a Data Analytics Software procurement for Citizen Stops by the Louisville Metropolitan Police Department (LMPD). The form serves as the foundational documentation for vendors to register as suppliers within the LMG Workday system and provide essential business information required for contract consideration. Prospective vendors must complete all sections of the form, including full legal business name, address, contact information, Federal ID Number, and Unique Entity Identifier, along with a current IRS Form W-9. The form is dated February 11, 2026 (Revision 3), and LMG staff members submit completed forms as part of the CREATE SUPPLIER REQUEST task within the Workday procurement system.

The form includes sections for vendors to identify their supplier classification, ownership status, and relevant certifications, including Minority-Owned, Women-Owned, Disabled-Owned, and LGBT-Owned designations, along with certifications such as Minority Business Enterprise (MBE), Women Business Enterprise (WBE), Disabled Business Enterprise (DIBE), and Veteran-Owned Small Business (VOSB). Vendors must designate authorized contacts for both contract negotiations and invoicing purposes and provide race/ethnicity information for monitoring purposes. The form accommodates both new supplier requests and updates to existing supplier records, with LMG selecting the appropriate Workday task type. No specific pricing terms, set-asides, award dates, or contract terms are detailed in this vendor registration form, as it functions as the initial intake document for supplier onboarding rather than a complete procurement solicitation.