3-Supplier Contact List Designation Form 09-2022.pdf
PDF 66 KB Posted
- Attached to
- Lamination Machines and Accessories
- Solicitation number
- Bid 26022HCF
- 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 tool for the district to maintain and update authorized contact information for vendor companies conducting business with the school district. The document establishes a framework for designating multiple points of contact within supplier organizations, including principal contacts, sales representatives/account managers, accounts receivable contacts, and technical contacts. Each contact type has defined responsibilities: principal contacts manage company information updates and payment authorization, account representatives handle purchase order and invoice inquiries, accounts receivable contacts manage invoices and payment status questions, and technical contacts address file delivery and system issues. The form allows vendors to add, delete, or modify contacts as needed, with the district recognizing changes upon receipt of written notice and reasonable processing time.
The form requires vendors to confirm their company details including name, doing business as (DBA), vendor number, address, telephone, and email before designating contacts. For each contact designation, vendors must provide the individual's name and title, business address if different from the company address, business phone number, city/state/zip code, and business email. This administrative document does not include pricing terms, set-asides, funding information, or contract-specific requirements; rather, it functions as an operational tool for maintaining accurate vendor communication channels and authorized representatives for the Clark County School District's procurement processes.
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Other files
| File | Type | Posted |
|---|---|---|
| 7-IFB T Cs Pur -BID-002 8-18-25.docx | DOCX document | |
| 1-26022HCF Lamination Machines and Accessories ITB Final.docx | DOCX document | |
| 4-supplier-application-update-form-4-2025-fillable.pdf | ||
| 2-Disclosure Form 3-15-11.pdf | ||
| 6-W-9 2024 (3).pdf | ||
| 5-Updated Supplier Federal 2CFR200 Certification Form 10.20.23.pdf |
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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 .