RCS Vendor Information Form Fillable rev Oct 2024.pdf
PDF 195 KB Posted
- Attached to
- Adams High School Drainage
- Solicitation number
- FRS11502
- Issued by
- Macomb County, Richland Village, Michigan
About this file
The document is a Vendor Information Form for Rochester Community Schools (RCS), designed to collect comprehensive vendor details for potential business transactions. The form is associated with the Adams High School Drainage project, a 2020 Sinking Fund Project that involves drainage improvements. The bid documents will be available from January 23, 2025, with a non-mandatory pre-bid walk-through scheduled for January 30, 2025, at 3200 W. Tienken Road, Rochester Hills. Bids are due by 2:00 p.m. on February 6, 2025, and will be opened publicly on the same day at Frank Rewold and Sons Inc.'s office.
The form requires vendors to provide critical information including legal business name, tax identification, contact details, and disclosures about potential student interactions and previous public school employment. Vendors must submit this form alongside a completed IRS W-9 and choose a payment method (ACH or check). The document emphasizes specific billing procedures, noting that orders over $500 will only be processed with a valid RCS purchase order, and all invoicing must be directed to RCS Accounts Payable. Any information changes must be communicated in writing to the RCS Purchasing Department.
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Text version
ROCHESTER COMMUNITY SCHOOLS
VENDOR INFORMATION
Vendor Legal Name:
Doing Business As:
TIN/EIN: or SSN:
State: Zip:
State: Zip:
Date:
Title:
»»»»»»»»»»This document MUST accompany a completed IRS W-9 form to ensure proper payment.««««««««««
Vendor Email to Send Purchase Orders:
Vendor Email to Send Payment Inquiries:
Vendor Phone: Vendor Fax:
Will vendor provide a service which comes in direct contact with students? (YES or NO)
If yes, what type of service will be provided involving students?
Are you currently, or have you ever been, employed by a public school district in MI? (YES or NO)
PURCHASE ORDER INFORMATION
Printed Name:
PAYMENT INFORMATION (Remit To)
AUTHORIZATION
Signed:
By completing this form, Vendor acknowledges all of the following:
»Orders over $500 will only be filled AFTER receipt of a valid RCS purchase order. Orders over $500 filled without a valid RCS purchase order are NOT the liability of the District.
»All invoicing must be directed to RCS Accounts Payable, 52585 Dequindre Road, Rochester, MI 48307 or ap@rochester.k12.mi.us.
»Any changes to the above information must be provided IN WRITING to the RCS Purchasing Department at purchasing@rochester.k12.mi.us.
rev 10/2024
Payment Method (choose one):
Info Below Same as PO Info Above:
Address 1:
Address 2:
City:
Contact Name:
Contact Email:
Contact Phone:
ACH (AR email address and bank letter are required. Please include/attach.)
Check mailed via USPS
Address 1:
Address 2:
City:
Contact Name:
Contact Email:
Contact Phone:
Sheet1
| DBA: |
| SOCIAL SECURITY NUMBER: |
| EMAIL ADDRESS TO SEND PURCHASE ORDERS: |
| EMAIL ADDRESS FOR PAYMENT INQUIRIES: |
| PHONE #: |
| FAX #: |
| LEGAL NAME: |
| PURCHASE ORDER ADDRESS: |
| TIN: |
| ADDRESS 2: |
| PO CONTACT NAME: |
| PO CONTACT EMAIL: |
| PO PHONE #: |
| REMIT ADDRESS: |
| REMIT CONTACT NAME: |
| REMIT CONTACT EMAIL: |
| REMIT PHONE #: |
| Date14_af_date: |
| TITLE: |
| SIGNATURE: |
| PRINTED NAME: |
| REMIT ADDRESS 2: |
| REMIT CITY: |
| REMIT STATE: |
| REMIT ZIP: |
| PO CITY: |
| PO STATE: |
| PO ZIP: |
| YES OR NO: |
| SERVICE DESCRIPTION: |
| Yes Check: Off |
| Yes Same Info: Off |
| Yes ACH: Off |
| Yes or No: |
File details come from the government source that posted it. Updated .