5-Vendor Information.pdf

This is a vendor information form used by Louisville Metro Government for supplier registration and management within their Workday system. The form is designed to collect comprehensive vendor data for the 4th Street Transformation Project, a planning and engineering design initiative for South 4th Street (W. Liberty Street to River Road) in downtown Louisville, Kentucky. The project builds upon the Reimagining 4th Street Conceptual Plan developed by the Louisville Downtown Partnership in late 2024, which envisions the corridor as a pedestrian boulevard connecting the city to the Ohio River. The form requires vendors to provide their full legal business name, address, contact information, Federal ID number, and Unique Entity Identifier, along with designated points of contact for contracts and invoices.

The vendor information form collects critical compliance and classification data, including Metro Louisville Revenue Commission numbers and 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 designations. Vendors must also indicate ownership status and race/ethnicity information for reporting purposes. The form (REV 3, dated 02/11/2026) accommodates both new supplier creation, requiring submission with an IRS Form W-9 dated within the last 12 months through Louisville Metro Government's Workday system, and updates to existing supplier records. An authorized agent signature and printed name with title are required, and the form supports modifications to supplier records through a supplier change request process managed by Louisville Metro Government.