2-VENDOR INFORMATION CREATESUPPLIER02112026REV3.pdf

This is a vendor information and supplier creation form for Louisville Metro Government (LMG) in Kentucky, used to establish new suppliers or update existing supplier records within the LMG procurement system. The form requires proposing vendors to provide complete business information including legal business name, address, contact details, Metro Louisville Revenue Commission Number, Federal ID Number, and Unique Entity Identifier. Vendors must designate authorized contacts for both contracts and invoicing purposes and provide an authorized agent signature. The form includes sections for suppliers to self-identify ownership status across multiple categories including minority-owned, women-owned, disabled-owned, and LGBT-owned businesses, as well as non-profit status. Additionally, vendors may indicate relevant certifications such as Minority Business Enterprise (MBE), Women Business Enterprise (WBE), Disabled Business Enterprise (DIBE), LGBT Business Enterprise (LGBTBE), and various veteran-owned classifications.

New supplier requests require completion of all form sections along with an IRS Form W-9 dated within the previous twelve months, with both documents submitted by LMG through the Workday system as part of the CREATE SUPPLIER REQUEST task. For updates or changes to existing supplier records, vendors complete only applicable sections and LMG initiates a SUPPLIER CHANGE REQUEST in Workday, attaching the completed form. The form, dated February 11, 2026 (Revision 3), also requests vendor demographic information including race and ethnicity classifications to support diversity tracking and reporting requirements. This form serves as the foundational documentation for vendor qualification and management within the Louisville Metro Government procurement process.