5-Vendor Information.pdf
PDF 197 KB Posted
- Solicitation number
- RFP260243
- Issued by
- Bath County, Kentucky
About this file
This is a Vendor Information form for Louisville Metro Government in Kentucky, used to establish supplier records and collect business credentials for contract proposals. The form is designed for vendors interested in bidding on government contracts, including the current opportunity for repairs of Ditch Witch and Bandit brand equipment and attachments such as mini skid steers, woodchippers, and full-size skid steers. Vendors must provide their full legal business name, address, federal identification number, unique entity identifier, and Metro Louisville Revenue Commission number. The form requires designation of authorized contacts for both contract negotiations and invoicing purposes, along with signature and authorization from an officer of the company. The document was last revised on February 11, 2026.
The Vendor Information form includes sections for suppliers to self-identify ownership status across multiple categories, including minority-owned, women-owned, disabled-owned, and LGBT-owned classifications, as well as non-profit status. Vendors may indicate relevant 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 (SDVOSB) certifications, along with Louisville Metro Human Relations Commission certification. The form also requests race and ethnicity information for reporting purposes. For new suppliers, completion of all form sections is required along with an IRS Form W-9 dated within the last 12 months, submitted by Louisville Metro Government through the Workday system. Existing suppliers seeking to update their records must complete applicable sections and submit a supplier change request through the same system.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2-RFP260243 Specifications.pdf | ||
| 3-Acknowledgements Preference.pdf | ||
| 4-GFE Docs.xlsx | XLSX spreadsheet | |
| 7-W9 2024.pdf | ||
| 6-Procurement - LMCO ban the box.pdf | ||
| 8-Submission Instructions - RFP260243.pdf | ||
| 1-RFP260243 Price Sheet.pdf |
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Text version
VENDOR INFORMATION / CREATE SUPPLIER
Full Legal Business Name of Proposer:
Address:
City: State: Zip:
E-Mail Address:
Telephone:
Metro Louisville Revenue Commission Number:
Federal ID Number:
Unique Entity Identifier:
The following individual is authorized to submit this proposal on behalf of and enter subsequent negotiations should Louisville Metro Government determine our firm reasonable susceptible of being selected for award.
Contact for Contracts: Contact for Invoices:
Email: Email:
Name: Name:
Phone Number: Phone Number:
Authorized Agent Signature:
Printed Name:
Title:
E-Mail Address:
Date:
Supplier Classification Ownership Status (51% owned or controlled)
Minority-Owned Women-Owned Disabled-Owned LGBT-Owned Non-Profit Not Applicable
Certifications (if applicable) Minority Business Enterprise (MBE) Women Business Enterprise (WBE) Disabled Business Enterprise (DIBE) LGBT Business Enterprise (LGBTBE) Veteran Owned Small Business (VOSB) Service-Disabled VOSB (SDVOSB)
Louisville Metro Human Relations Commission Certification Race / Ethnicity American Indian or Alaska Native Asian American Asian-Indian American Asian – Pacific American Black / African American Caucasian Latino or Hispanic Other
Form Date: 02/11/2026 - REV 3
To Request New Supplier: Suppliers complete all sections of this form along with an IRS Form W-9 dated within the last 12 months. Forms are attached and submitted by LMG in Workday as part of the CREATE SUPPLIER REQUEST task.
To Update / Change to Supplier Record: Suppliers must complete the applicable sections. LMG completes the Workday task CREATE REQUEST; select SUPPLIER CHANGE REQUEST; enter the requested change and attach this completed form
| Full Legal Business Name of Proposer: |
| Address: |
| City: |
| State: |
| Zip: |
| EMail Address: |
| Telephone: |
| Metro Louisville Revenue Commission Number: |
| Federal ID Number: |
| Unique Entity Identifier: |
| The following individual is authorized to submit this proposal on behalf of: |
| Email: |
| Email_2: |
| Name: |
| Name_2: |
| Phone Number: |
| Phone Number_2: |
| Printed Name: |
| Title: |
| EMail Address_2: |
| Date: |
| MO: Off |
| WO: Off |
| DO: Off |
| LO: Off |
| NP: Off |
| NA: Off |
| MBE: Off |
| WBE: Off |
| DIBE: Off |
| LGBTBE: Off |
| VOSB: Off |
| SDVOSB: Off |
| AI: Off |
| AA: Off |
| AIA: Off |
| APA: Off |
| BAA: Off |
| C: Off |
| LOH: Off |
| O: Off |
File details come from the government source that posted it. Updated .