8-Vendor InformationForm.pdf

This document is a Vendor Information Form from the County of Bergen, specifically from the Department of Administration and Finance, Division of the Treasurer, located in Hackensack, New Jersey. The two-page form is designed for potential vendors to provide comprehensive business and contact information for inclusion in the county's vendor database. The form requires detailed input such as company name, address, contact information, remittance details, and business classification.

The form includes sections for classifying the business by type (e.g., Small Business, Minority Owned, Women Owned, Veteran Owned) and IRS classification (such as Individual/Sole Proprietor, C-Corp, S-Corp, Partnership). Vendors must also certify the accuracy of the information provided by signing the form. The document is signed by James J. Tedesco, III (County Executive) and Jon Rheinhardt (CFO), and provides contact information for the Bergen County Department of Administration and Finance.