6-Vendor Registration Form - Includes Conflict of Int and W9 Link.pdf
PDF 160 KB Posted
- Attached to
- Art Supplies and Related Materials
- Solicitation number
- IFB 27-03-31
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Vendor Registration Form for the Tolleson Union High School District #214 in Arizona, which serves as the foundational document for vendors seeking to conduct business with the district and its S.A.V.E. Cooperative Purchasing members. The form establishes the registration requirements for vendors offering art supplies and related materials, including paints, sewing supplies, paint brushes, school craft supplies, colored pencils and markers, glue and epoxy, clothing for art, baking supplies, and other related materials. The district requires vendors to complete the registration form and submit a current IRS W-9 Form to the Purchasing Department at the district office located at 9801 West Van Buren Street, Tolleson, Arizona 85353. All goods and services must be received by June 30 of each fiscal year, and vendors are responsible for following up on invoice payment within 30 days of submission.
The registration form requires vendors to provide comprehensive business information, including legal organization name, remittance and payment addresses, contact information, and a conflict of interest disclosure statement certifying that the vendor is not a district employee, relative of a district employee, or member or relative of the district governing board. Vendors must acknowledge that registration does not guarantee contractual awards, that all products and services require an authorized purchase order prior to delivery, that invoices must include the purchase order number and be submitted directly to the district's Accounts Payable department at AP@tuhsd.org, and that the district remits Arizona state sales tax. The form also specifies that vendor registration is separate from inclusion on the district's bid list, which requires additional registration through the Bonfire Hub portal at tollesonuhsd.bonfirehub.com.
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Text version
VENDOR REGISTRATION FORM
https://www.tuhsd.org/purchasing
ORDER INFORMATION REMITTANCE ADDRESS INFORMATION
LEGAL NAME OF ORGANIZATION / INDIVIDUAL LEGAL NAME OF PAYEE
ORDER MAILING ADDRESS PAYMENT MAILING ADDRESS
ORDER MAILING ADDRESS 2 PAYMENT MAILING ADDRESS 2
ORDER CITY PAYMENT CITY
ORDER STATE ORDER ZIP PAYMENT STATE PAYMENT ZIP
ORDER PHONE NUMBER W/ EXT ORDER FAX NUMBER PAYMENT PHONE NUMBER W/ EXT PAYMENT FAX NUMBER
SALES CONTACT NAME BILLING CONTACT NAME
SALES EMAIL ADDRESS BILLING EMAIL ADDRESS
EMAIL ADDRESS FOR PURCHASE ORDERS WEBSITE ADDRESS
DO YOU REMIT ARIZONA STATE SALES TAX? DOES YOUR COMPANY ACCEPT PURCHASE ORDERS?
YES NO YES NO
NAME OF TUHSD STAFF WITH WHOM YOU ARE CURRENTLY WORKING: VENDOR CONFLICT OF INTEREST STATEMENT
ARE YOU A TUHSD DISTRICT EMPLOYEE?
YES IF YES, EXPLAIN:
A RELATIVE OF A TUHSD DISTRICT EMPLOYEE?
YES NO IF YES, EXPLAIN:
A MEMBER OR RELATIVE OF DISTRICT GOVERNING
YES NO IF YES, EXPLAIN:
DESCRIBE GOODS/SERVICES OFFERED:
VENDOR ACKNOWLEDGEMENTS BY SIGNING BELOW, I CERTIFY THAT:
1. I am duly authorized to certify the information requested herein.
2. To the best of my knowledge, the elements of the information provided herein are accurate and true as of this date.
3. My organization will comply with all applicable State statutes and Federal regulations that govern purchases from my company.
Filing of a Vendor Registration Application supplies information only and does not constitute an assumed obligation by Tolleson Union High School District (TUHSD) to guarantee contractual awards or agreements to my organization.
4.
5. Updating information contained on this form is solely the duty of my organization.
6. My organization will not provide any product/service without first having in our possession an authorized TUHSD Purchase Order. No products/services will be provided based on a verbal promise of a Purchase Order or with the submission of a requisition for a Purchase Order. I understand that payment for any product/service provided without an authorized Purchase Order is not the responsibility of TUHSD and that I will have to obtain payment from the individual requestor.
7. My organization will direct all communication regarding TUHSD Purchase Orders to the TUHSD Purchasing Department.
8. My organization will provide the Purchase Order number on all invoices submitted to TUHSD I understand that invoices received without this information will not be paid. Email invoices to AP@tuhsd.org.
9. My organization will submit all invoices directly to TUHSD Accounts Payable and not to the requesting department or school.
10. All goods/services must be received by June 30 of each fiscal year. I understand that it is my responsibility to follow up on payment of invoices within 30 days.
11. This form allows TUHDS to issue PO's and payment to you. It does not provide inclusion in TUHSD Bid List. Register separately at https://tollesonuhsd.bonfirehub.com/portal/?tab=openOpportunities.
PRINTED OR TYPED NAME TITLE
SIGNATURE DATE
Please return this Vendor Registration Form and a current IRS W-9 (Click Here) Form to:
Tolleson High School District #214
Attn: Purchasing
9801 West Van Buren St.
Tolleson AZ 85353
Email: vendorforms@tuhsd.org
Questions? 623-478-4000
Last Update 6/11/2025 https://www.tuhsd.org/purchasing mailto:AP@tuhsd.org https://tollesonuhsd.bonfirehub.com/portal/?tab=openOpportunities https://www.irs.gov/pub/irs-pdf/fw9.pdf mailto:vendorforms@tuhsd.org
File details come from the government source that posted it. Updated .