6-Vendor Information Form.docx

This is a Vendor Information Form used by the Clayton County Water Authority (CCWA) in Morrow, Georgia to register vendors and suppliers in its financial database system and document business designations. The form serves as the primary mechanism for collecting essential vendor data required for procurement and compliance purposes. CCWA operates multiple water supply and distribution facilities throughout Clayton County on a 24/7 basis, including raw water diversion systems, groundwater recharge facilities, water wells, treatment and production plants, storage facilities, lift stations, and pressure-regulating stations. The form requires vendors to provide their legal business name as it appears on invoices, which must match their W-9 Form submission, along with principal contact information, email address, phone number, mailing address, and remittance address.

The form specifies standard payment terms of NET 30 with payment options available via paper check or ACH transfer, with ACH authorization forms to be provided to awarded vendors upon selection. Vendors must identify their business classification status, including options for CCWA Small Local Business Enterprise (SLBE), Women Business Enterprise (WBE), Minority Business Enterprise (MBE), Disadvantaged Business Enterprise (DBE), Other SBE designations, and Veteran-Owned Business status. The form also requires vendors to provide applicable NIGP codes and identify the requesting department contact for procurement purposes. This standardized form ensures consistent vendor data collection and enables CCWA to maintain accurate financial records and comply with applicable procurement regulations and business classification requirements.