4-Vendor Information.pdf

This is a Vendor Information Form from Louisville Metro Government in Jefferson County, designed for potential vendors to provide comprehensive details about their business when submitting a proposal. The form allows vendors to specify their business information, including legal business name, contact details, revenue commission number, federal ID, and unique entity identifier. The document provides sections for identifying the authorized agent who can submit the proposal and enter negotiations, with separate contact information for contracts and invoices.

The form includes detailed supplier classification options, allowing vendors to identify their ownership status such as Minority-Owned, Women-Owned, Disabled-Owned, or LGBT-Owned. Additionally, it offers certification checkboxes for various business enterprise classifications like Minority Business Enterprise (MBE), Women Business Enterprise (WBE), and Veteran Owned Small Business (VOSB). The form also includes a section for self-reporting race and ethnicity through the Louisville Metro Human Relations Commission Certification, with options including American Indian, Asian American, Black/African American, Latino/Hispanic, and other demographic categories. The form is dated 9/11/2025, suggesting it is a template for future use in procurement processes.