9-Vendor Registration Form - Includes Conflict of Int and W9 Link.pdf
PDF 42 KB Posted
- Attached to
- Audit Services State and local contract opportunity
- Solicitation number
- 27-06-31
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Vendor Registration Form for the Tolleson Union High School District (TUHSD) in Arizona, designed to establish vendor eligibility for purchasing contracts. The form requires vendors to provide comprehensive organizational and contact information, including legal entity name, mailing addresses, phone numbers, and website details. Vendors must disclose sales tax remittance status and confirm their acceptance of purchase orders. The form includes a conflict of interest statement requiring vendors to identify any relationships with district employees or governing board members. By submitting the registration, vendors acknowledge that they will not provide goods or services without an authorized purchase order, will include the purchase order number on all invoices, and must submit invoices directly to TUHSD Accounts Payable. All goods and services must be received by June 30 of each fiscal year. The form is not a guarantee of contractual awards and does not constitute inclusion in the TUHSD Bid List; vendors must register separately through the Bonfire Hub portal.
Vendors must submit the completed Vendor Registration Form along with a current IRS W-9 Form to the TUHSD Purchasing Department at 9801 West Van Buren Street, Tolleson, Arizona 85353, or via email to vendorforms@tuhsd.org. The related contract opportunity involves audit services for the district covering five fiscal years ending June 30, 2026 through 2030, requiring a qualified Certified Public Accountant to conduct annual audits in accordance with Title 2 U.S. Code of Federal Regulations Part 200 (Uniform Guidance) and to complete the Uniform System of Financial Records for Arizona School Districts Compliance Questionnaire. The district reserves the right to suspend contract provisions for any year in which federal award expenditures fall below the qualifying threshold established by Uniform Guidance. Questions regarding vendor registration may be directed to TUHSD Purchasing at 623-478-4000.
View the file
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| File | Type | Posted |
|---|---|---|
| 1-Additional Materials Submittal Form.pdf | ||
| 10-Bid Cost Form.pdf | ||
| 12-Past Performance Evaluation.pdf | ||
| 6-EDGAR Certification Updated as of 6-10-2025.pdf | ||
| 13-OFFER AND ACCEPTANCE FORM.pdf | ||
| 3-Certificate of Insurance.pdf | ||
| 11-DEVIATIONS AND EXCEPTIONS.pdf | ||
| 2-Amendment Acknowledgment Form.pdf | ||
| 8-NONCOLLUSION AFFIDAVIT.pdf | ||
| 4-CONFIDENTIAL PROPRIETARY.pdf | ||
| 5-Debarment Cert.pdf | ||
| 7-MWBE HUB.pdf |
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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
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