8-Vendor Information Form - 2024.pdf
PDF 119 KB Posted
- Attached to
- Commercial Grounds Equipment - COOP
- Solicitation number
- BC-BID-26-13
- Issued by
- Bergen County, New Jersey
About this file
This is a Vendor Information Form issued by the County of Bergen, New Jersey, Department of Administration and Finance, Division of the Treasurer, in connection with a Commercial Grounds Equipment Cooperative purchasing contract. The form collects essential vendor registration information required for participation in the County of Bergen's procurement processes, specifically for the establishment of twenty-four (24) month contracts commencing on or about May 7, 2026 through May 6, 2028 with multiple catalog vendors for the provision of Commercial Grounds Maintenance Equipment and Accessories. The equipment covered under this contract includes gas, electric, and battery-powered lawn, natural and synthetic turf, agriculture, compact construction, and outdoor power equipment intended for use by the Department of Parks and Recreation and registered New Jersey Cooperative Purchasing Alliance members.
The Vendor Information Form requires vendors to provide company name, address, authorized official contact information, and remittance address if different from the primary address. Vendors must specify their business classification and IRS classification, including whether the company qualifies as a small business, minority-owned business, women-owned business, or veteran-owned business, or whether it holds other designations such as tax-exempt status. The form certifies that all information provided is accurate and true to the best of the vendor's knowledge, with authorized signature and print name required for submission.
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Text version
COUNTY OF BERGEN
DEPARTMENT OF ADMINISTRATION AND FINANCE
DIVISION OF THE TREASURER
One Bergen County Plaza• Suite 501 • Hackensack, N.J. 07601-7076
(201) 336-6550 • (201 336-6595 James J. Tedesco, Ill County Executive
Jon Rheinhardt
CFO
Melissa Howard Treasurer
* - Required field
VENDOR INFORMATION FORM
Vendor Information (as displayed on W-9 form):
Company Name*:
Address*:
City*:
State*:
Zip Code*:
Name of Authorized Official*:
Phone Number*:
Email Address*:
Would you prefer that PO's to be emailed to the email address provided?
□Yes □No
Remittance Address: (if different than information above)
Pay-To-Name:
Pay-To-Address:
Pay-To-City:
Pay-To-State:
Pay-To-Zip:
Pay-to Attn:
Payment Email:
Business Classification:
Is your company a: * IRS Classification: *
□ Small Business □ Individual/ Sole proprietor
□ Minority Owned □ C-Corp
□ Women Owned □ S-Corp
□ Veteran Owned □ Partnership
□ Other: □ Trust/Estate
□ Not Applicable □ Limited Liability Corp - Corporation
□ Limited Liability Corp - S
Corporation
□ Limited Liability Corp - Partnership
□ Tax-Exempt Organization
I certify that the information provided on this form is true and accurate to the best of my knowledge.
Print Name: Signature:
File details come from the government source that posted it. Updated .