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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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 .