5-Vendor Information.pdf

This is a vendor information form used by Louisville Metro Government for supplier registration and management in Kentucky. The form serves as the primary document for establishing new vendor relationships or updating existing supplier records within the Louisville/Jefferson County Metro Government procurement system. The form captures essential business identification information, including legal business name, address, federal identification numbers, and the unique entity identifier required for government contracting. It designates authorized contacts for both contract negotiations and invoice processing, requiring signature authorization from an agent with appropriate authority to bind the organization.

The form includes comprehensive sections for supplier classification and certification documentation, allowing vendors to self-identify ownership status across multiple categories including minority-owned, women-owned, disabled-owned, and LGBT-owned classifications. Vendors may also indicate certifications such as Minority Business Enterprise (MBE), Women Business Enterprise (WBE), Disabled Business Enterprise (DIBE), LGBT Business Enterprise (LGBTBE), Veteran Owned Small Business (VOSB), and Service-Disabled VOSB status, along with Louisville Metro Human Relations Commission certification. The form requires documentation of race and ethnicity for statistical and compliance purposes. New supplier requests must include an IRS Form W-9 dated within the previous 12 months, while updates to existing supplier records require completion of only applicable sections. The form was last revised on February 11, 2026, and is submitted through Louisville Metro Government's Workday system to initiate either new supplier creation or modification of existing supplier records.