7-Supplier Contact List Designation Form.doc
DOC document 656 KB Posted
- Attached to
- RFP 26024BDC Grades 6-12 Digital Courseware
- Solicitation number
- RFP 26024BDC
- Issued by
- Clark County, Nevada
About this file
This is a Supplier Contact List Designation Form from the Clark County School District Purchasing Department located in Las Vegas, Nevada. The form serves as an administrative document designed to establish and maintain authorized contact information for vendor companies conducting business with the district. The form requires suppliers to confirm their company details, including name, doing-business-as designation, vendor number, address, telephone, and email, ensuring that the district maintains current and accurate vendor information for ongoing business communications.
The form provides a structured framework for designating up to two principal contacts, one sales representative or account manager, two accounts receivable contacts, and one technical contact. Each contact designation allows suppliers to specify the individual's name and title, business address, phone number, and email address, with options to add or delete contacts as needed. The principal contact serves as the authorized representative for general communications and has authority to update company information including banking details for payments. Account representatives can manage purchase order and invoice data, accounts receivable contacts handle invoicing and payment inquiries, and technical contacts address file-related issues and system concerns. The district retains the ability to rely on the submitted contact information until receiving written notice of changes and reasonable time to process updates.
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Text version
file_0.jpg file_1.wmf
Supplier Contact List Designation Form Purchasing Department 4212 Eucalyptus Avenue Bldg. 7 Las Vegas, NV 89121 Telephone: (702) 799-5225 Fax: (702) 799-5018
This form provides the Clark County School District with a list of contacts authorized to conduct various business activity on behalf of your company. We can rely on this form until we receive written notice of a change and we have had reasonable time to act on it.
Part 1: Confirm your company details
Name: DBA:
Vendor Number (CCSD Use Only) Address City, State and Zip Code Telephone Email
Part 2: Add or Change contacts
Use this section to add or change principal contact, account representative/manager, accounts receivable and technical contact.
The principal contact is the person your company designates as supplier emails and phone calls. They have the authority to add/ update company information including bank account information for payments.
An account representative/ manager can request and provide purchase order and invoice transactional data. An account receivable contact can provide invoices and inquire about payment status.
A technical contact can request file resends and inquire about files names and delivery information, incoming files and system outage and issues.
Principal Contact #1 file_2.wmf
Name and title:
What do you want to do for this contact? Add Delete
Is the contact’s address the same as the company address? Yes No
| Business address | Business phone |
| City, State, Zip code | Business email |
Principal Contact #2 file_3.wmf
What do you want to do for this contact? Add Delete
Is the contact’s address the same as the company address? Yes No
| Business address | Business phone |
| City, State, Zip code | Business email |
Sales Rep/Account Manager file_4.wmf
What do you want to do for this contact? Add Delete
Is the contact’s address the same as the company address?
Yes
No
Business address
Business phone City, State, Zip code
Business email
Accounts Receivable #1 file_5.wmf
What do you want to do for this contact? Add Delete
Is the contact’s address the same as the company address?
Yes
No
Business address
Business phone City, State, Zip code
Business email
Accounts Receivable #2 file_6.wmf
What do you want to do for this contact? Add Delete
Is the contact’s address the same as the company address? Yes No
| Business address | Business phone |
| City, State, Zip code | Business email |
Technical Contact file_7.wmf
What do you want to do for this contact? Add Delete
Is the contact’s address the same as the company address? Yes No
| Business address | Business phone |
| City, State, Zip code | Business email |
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