9-New Vendor Request Form.pdf

PDF 353 KB Posted

Attached to
E-Rate Category Two Internal Connections – UPS Systems and Wireless Access Points
Solicitation number
RFP 25-26-18
Issued by
Cameron County, Texas

About this file

This is a New Vendor Request Form used by Los Fresnos Consolidated Independent School District (LFCISD) in Texas to onboard vendors for procurement purposes, including those participating in approved cooperative purchasing programs such as Region I, Region II (Goodbuy), Buyboard, OMNIA, DIR, TXMAS, and others. The form requires vendors to provide complete legal business information, including company name, federal tax classification, Employer Identification Number or Social Security Number, correspondence and payment addresses, contact person details, and phone and email information. Requestors must identify the estimated purchase amount, specify whether the vendor is replacing an existing vendor, and state the justification for adding the new vendor to the approved list. For unapproved vendors with purchases exceeding $10,000, the form requires submission of a Purchasing Justification Form along with three quotes or shopping cart price comparisons as applicable.

The submission process requires vendors to email the completed form along with a W-9 form (no more than one year old), justification documentation, and supporting backup materials to the LFCISD Purchasing Office at purchasing@lfcisd.net. All required information must be completed for processing. The form notes that federal funds may be expended through this procurement process, and therefore vendors must comply with applicable federal provisions and complete required certifications including Form 1295, Conflict of Interest Questionnaire (CIQ), and other vendor certification documents. The form was last updated on November 15, 2023, and serves as the intake mechanism for establishing vendor relationships with the district and its cooperative members.

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Text version

NEW VENDOR REQUEST FORM

(Complete legal name required)

Inc. Corp. LLC Partnership

Employee/Employee Id #

Other:

Please check one: EIN or SSN

Correspondence address:

(PO): City/State/Zip Code:

Contact person:

Area code/Phone: Area Code/Fax:

E-mail address (PO):

Vendor Co-Op & Contract # __________________________________________________________ (Region I, Region II (Goodbuy), Buyboard, OMNIA, DIR, TXMAS, CSP/RFP, Choice Partners, TIPS, PACE, HGAC BUY, 1 GPA, Equalis Group, Sourcewell, CTPA)

Updated 11-15-23

Please e-mail this form, W9 (1 year old or less), & Justification Form (with backup as applicable) to the Purchasing Office purchasing@lfcisd.net. ALL ABOVE INFORMATION IS REQUIRED IN ORDER TO

PROCESS REQUEST.

Is this vendor replacing an existing vendor? If so, provide vendor #: __________________

Estimated amount of purchase $

REQUESTOR NAME: CAMPUS/DEPT:

PHONE NUMBER: E-MAIL:

Company Name:

Federal tax classification:

Tax identification number:

Payment address if different from W-9: _____________________________________________

City/State/Zip Code: ______________________________________________________ FOR LFCISD STAFF USE ONLY: State justification for adding new vendor (must include reason and which approved vendors you have reached out to). For an unapproved vendor, if purchase is over $10,000 please include Purchasing Justification Form & 3 quotes/shopping carts/price info as applicable.

(Previously used vendor #) mailto:purchasing@lfcisd.net licantu Highlight

New Vendor Request Form 11-15-23.pdf
_New Vendor Packet 11-1-23.pdf
New Vendor Request Form 11-1-23.pdf
ACH form 11-1-23.pdf
Form W-9.pdf
Vendor Certifications, CIQ, 1295, & COLI 11-1-23.pdf
_LFCISD Required Proposal Forms Template for Bids2.pdf
The following provisions are required and apply when federal funds are expended by Los Fresnos CISD, and/or its cooperative members, for any contract resulting from this procurement process.
_Form 1295.pdf
Form 1295 Changes.pdf
_Form CIQ Conflict of Interest Questionaire.pdf
coi-example.pdf
COMPANY NAME:
address:
CORRESPONDANCE ADDRESS PO:
EIN/SS:
CONTACT PERSON:
AREA CODEPHONE:
AREA CODEFAX:
EMAIL ADDRESS PO:
ESTIMATED AMOUNT OF PURCHASE:
PLEASE STATE JUSTIFICATION FOR ADDING NEW VENDOR:
REQUESTOR NAME:
CAMPUSDEPT:
PHONE NUMBER:
EMAIL:
Check Box43: Off
Check Box44: Off
Text1:
Text2:
Employee ID:
Text5:
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
Check Box10: Off
Text11:
Text3:
Text4:

File details come from the government source that posted it. Updated .