5-Supplier Contact List Designation Form.doc
DOC document 656 KB Posted
- Solicitation number
- RFP 27009BDC
- Issued by
- Clark County, Fish Springs CDP, Nevada
About this file
This is a Supplier Contact List Designation Form from the Clark County School District's Purchasing Department located in Las Vegas, Nevada. The form serves as an administrative tool for managing vendor communication channels and designated representatives. It establishes a standardized process for the District to maintain current contact information for suppliers conducting business on behalf of their companies, with the understanding that the form remains valid until written notice of changes is received and the District has had reasonable time to process the modifications.
The form is divided into two primary sections: Part 1 requests confirmation of company details including legal name, doing-business-as (DBA) name, vendor number, address, telephone, and email; Part 2 provides fields for designating or modifying up to two principal contacts, one sales representative/account manager, two accounts receivable contacts, and one technical contact. Each contact designation captures the individual's name, title, business address (with option to reference company address), business phone, city/state/zip code, and business email. The form defines specific authority levels for each contact type: principal contacts manage general supplier communications and company information updates including banking details; account representatives handle purchase order and invoice transactional inquiries; accounts receivable contacts manage invoicing and payment status questions; and technical contacts address file delivery and system issues. Vendors can elect to add or delete contacts as necessary through checkboxes provided on the form.
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Other files
| File | Type | Posted |
|---|---|---|
| 12-RFP 27009BDC Family Engagement, Student Progress, School to Home Communication.doc | DOC document | |
| 9-Attachment A.docx | DOCX document | |
| 1-Customer Reference Form.docx | DOCX document | |
| 7-Public Disclosure Form.docx | DOCX document | |
| 6-Supplier Federal 2 CFR 200 Certification Form.docx | DOCX document | |
| 10-Appendix B - System Matrix.xlsx | XLSX spreadsheet | |
| 11-Appendix A - Pricing Sheet.docx | DOCX document | |
| 8-Attachment B.docx | DOCX document | |
| 4-Supplier Application Update Form.doc | DOC document | |
| 2-W-9.pdf | ||
| 13-Amendment 1 Data Sharing Amendment.docx | DOCX document | |
| 3-Proposal Submittal Form.doc | DOC document |
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Text version
file_0.jpg file_1.wmf
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.
Principal Contact #1 file_2.wmf
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 file_3.wmf
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 |
Sales Rep/Account Manager file_4.wmf
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
Accounts Receivable #1 file_5.wmf
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
Accounts Receivable #2 file_6.wmf
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 |
Technical Contact file_7.wmf
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 |
File details come from the government source that posted it. Updated .