9-Vendor Registration Form - Includes Conflict of Int and W9 Link.pdf
PDF 42 KB Posted
- Attached to
- Food Handler Courses & Certifications State and local contract opportunity
- Solicitation number
- 27-05-31
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Vendor Registration Form for the Tolleson Union High School District #214 (TUHSD) in Arizona, designed to establish vendor eligibility for purchasing opportunities within the district. The form collects comprehensive organizational information including legal entity details, order and remittance addresses, primary contacts for sales and billing functions, and confirmation of the vendor's willingness to accept purchase orders. Vendors are required to disclose any conflicts of interest, including current employment with TUHSD, family relationships to district employees, or connections to district governing board members. The form explicitly addresses the scope of goods and services offered and requires vendors to acknowledge multiple operational requirements, including compliance with state and federal regulations, possession of authorized purchase orders prior to service delivery, and direct communication with the TUHSD Purchasing Department regarding all transactions.
The registration process requires submission of the completed form along with a current IRS W-9 form to the district's purchasing department at 9801 West Van Buren Street, Tolleson, Arizona 85353, with electronic submission available via vendorforms@tuhsd.org. The form clarifies that registration does not constitute a contractual obligation or guarantee of awards and does not automatically include vendors in the district's bid list; separate registration is required at https://tollesonuhsd.bonfirehub.com/portal/ for bid opportunities. Vendors must ensure all goods and services are received by June 30 of each fiscal year and are responsible for invoice follow-up within 30 days of submission. All invoices must be submitted directly to TUHSD Accounts Payable with the corresponding purchase order number and should be directed to AP@tuhsd.org. The district contact for inquiries is 623-478-4000.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 2-Amendment Acknowledgment Form.pdf | ||
| 8-NONCOLLUSION AFFIDAVIT.pdf | ||
| 14-BID COST FORM.pdf | ||
| 6-EDGAR Certification Updated as of 6-10-2025.pdf | ||
| 7-MWBE HUB.pdf | ||
| 12-Past Performance Evaluation.pdf | ||
| 13-Data Security and Confidentiality Agreement - Tolleson to Vendor.pdf | ||
| 11-OFFER AND ACCEPTANCE FORM.pdf | ||
| 3-Certificate of Insurance.pdf | ||
| 10-DEVIATIONS AND EXCEPTIONS.pdf | ||
| 1-Additional Materials Submittal Form.pdf | ||
| 5-Debarment Cert.pdf | ||
| 15-RFP 27-05-31 Food Handler Courses Certifications Final LB.pdf | ||
| 4-CONFIDENTIAL PROPRIETARY.pdf |
Show all 14
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
VENDOR REGISTRATION FORM
https://www.tuhsd.org/purchasing
ORDER INFORMATION REMITTANCE ADDRESS INFORMATION
LEGAL NAME OF ORGANIZATION / INDIVIDUAL LEGAL NAME OF PAYEE
ORDER MAILING ADDRESS PAYMENT MAILING ADDRESS
ORDER MAILING ADDRESS 2 PAYMENT MAILING ADDRESS 2
ORDER CITY PAYMENT CITY
ORDER STATE ORDER ZIP PAYMENT STATE PAYMENT ZIP
ORDER PHONE NUMBER W/ EXT ORDER FAX NUMBER PAYMENT PHONE NUMBER W/ EXT PAYMENT FAX NUMBER
SALES CONTACT NAME BILLING CONTACT NAME
SALES EMAIL ADDRESS BILLING EMAIL ADDRESS
EMAIL ADDRESS FOR PURCHASE ORDERS WEBSITE ADDRESS
DO YOU REMIT ARIZONA STATE SALES TAX? DOES YOUR COMPANY ACCEPT PURCHASE ORDERS?
YES NO YES NO
NAME OF TUHSD STAFF WITH WHOM YOU ARE CURRENTLY WORKING: VENDOR CONFLICT OF INTEREST STATEMENT
ARE YOU A TUHSD DISTRICT EMPLOYEE?
YES IF YES, EXPLAIN:
A RELATIVE OF A TUHSD DISTRICT EMPLOYEE?
YES NO IF YES, EXPLAIN:
A MEMBER OR RELATIVE OF DISTRICT GOVERNING
YES NO IF YES, EXPLAIN:
DESCRIBE GOODS/SERVICES OFFERED:
VENDOR ACKNOWLEDGEMENTS BY SIGNING BELOW, I CERTIFY THAT:
1. I am duly authorized to certify the information requested herein.
2. To the best of my knowledge, the elements of the information provided herein are accurate and true as of this date.
3. My organization will comply with all applicable State statutes and Federal regulations that govern purchases from my company.
Filing of a Vendor Registration Application supplies information only and does not constitute an assumed obligation by Litchfield Elementary School District (TUHSD) to guarantee contractual awards or agreements to my organization.
4.
5. Updating information contained on this form is solely the duty of my organization.
6. My organization will not provide any product/service without first having in our possession an authorized TUHSD Purchase Order. No products/services will be provided based on a verbal promise of a Purchase Order or with the submission of a requisition for a Purchase Order. I understand that payment for any product/service provided without an authorized Purchase Order is not the responsibility of TUHSD and that I will have to obtain payment from the individual requestor.
7. My organization will direct all communication regarding TUHSD Purchase Orders to the TUHSD Purchasing Department.
8. My organization will provide the Purchase Order number on all invoices submitted to TUHSD I understand that invoices received without this information will not be paid. Email invoices to AP@tuhsd.org.
9. My organization will submit all invoices directly to TUHSD Accounts Payable and not to the requesting department or school.
10. All goods/services must be received by June 30 of each fiscal year. I understand that it is my responsibility to follow up on payment of invoices within 30 days.
11. This form allows TUHDS to issue PO's and payment to you. It does not provide inclusion in TUHSD Bid List. Register separately at https://tollesonuhsd.bonfirehub.com/portal/?tab=openOpportunities.
PRINTED OR TYPED NAME TITLE
SIGNATURE DATE
Please return this Vendor Registration Form and a current IRS W-9 (Click Here) Form to:
Tolleson High School District #214
Attn: Purchasing
9801 West Van Buren St.
Tolleson AZ 85353
Email: vendorforms@tuhsd.org
Questions? 623-478-4000
Last Update 6/11/2025 https://www.tuhsd.org/purchasing mailto:AP@tuhsd.org https://tollesonuhsd.bonfirehub.com/portal/?tab=openOpportunities https://www.irs.gov/pub/irs-pdf/fw9.pdf mailto:vendorforms@tuhsd.org
File details come from the government source that posted it. Updated .