9-Vendor InformationForm.pdf

This document is a Vendor Information Form from the County of Bergen, Department of Administration and Finance, Division of the Treasurer, located in Hackensack, New Jersey. The form is designed for potential vendors to provide comprehensive company details for consideration in county procurement processes. It requires vendors to complete sections for basic company information, including company name, address, contact details, and an authorized official's information. The form also includes a section for remittance address if different from the primary company address.

The second page of the document focuses on business classification, allowing vendors to specify their business type (such as small business, minority-owned, women-owned, or veteran-owned) and their IRS classification (including options like individual/sole proprietor, C-Corp, S-Corp, partnership, etc.). The form concludes with a certification statement where the vendor must print their name and provide a signature, affirming the accuracy of the information submitted. This form is part of Bergen County's vendor registration and qualification process, enabling potential suppliers to enter the county's procurement system.