3-Supplier Contact List Designation Form 09-2022.pdf
PDF 66 KB Posted
- Attached to
- Cash Transit Services
- Solicitation number
- RFP 26023AAP
- Issued by
- Clark County, Nevada
About this file
This is a Supplier Contact List Designation Form used by the Clark County School District's Purchasing Department to maintain and manage authorized business contacts for vendor companies. The form is designed to establish and update points of contact for various business functions, including a principal contact who receives communications and has authority to update company information and banking details for payment purposes, an account representative or manager who handles purchase order and invoice inquiries, an accounts receivable contact responsible for invoice and payment status matters, and a technical contact who manages file-related issues and system communications. The form allows vendors to add, delete, or modify contacts across these designated categories, with options to indicate whether contact addresses match the company's primary address or differ.
The form serves as an administrative tool for the Clark County School District to streamline vendor communication and ensure proper authorization of business activities on behalf of supplier companies. Vendors are required to confirm their company details including name, doing business as (DBA), vendor number, address, telephone, and email before designating or modifying contacts. The District indicates it will rely on the information provided until receiving written notice of changes and having reasonable time to process updates. The form does not establish pricing terms, set-asides, or contract-specific requirements, as it functions solely as a contact management document supporting the District's vendor relationship processes.
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Other files
| File | Type | Posted |
|---|---|---|
| 8-RFP 26023AAP Cash Transit Services Attachment A.docx | DOCX document | |
| 6-Customer Reference Form .docx | DOCX document | |
| 9-RFP 26023AAP Cash Transit Services Attachment B.docx | DOCX document | |
| 4-Updated Supplier Federal 2CFR200 Certification Form 10.20.23.pdf | ||
| 10-RFP 26023AAP Cash Transit Services Attachment C.docx | DOCX document | |
| 11-RFP 26023AAP Cash Transit Services Proposal Submittal Form.docx | DOCX document | |
| 1-Disclosure Form 3-15-11.pdf | ||
| 2-supplier-application-update-form-4-2025-fillable.pdf | ||
| 7-RFP 26023AAP Cash Transit Services Euna 12-29-25.doc | DOC document | |
| 5-W-9 2024 (3).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 .