RCSStandardVendorAppREV2022doc (1).pdf
PDF 109 KB Posted
- Attached to
- Bid Package 28B – Temporary Power Connections
- Solicitation number
- FRS10284B
- Issued by
- Calhoun County, Richmond City, Michigan
About this file
The document is a Vendor Application form for Rochester Community Schools (RCS), designed to collect comprehensive vendor information for potential business engagements. The form requires vendors to provide detailed contact information, including legal business name, parent company, tax identification, contact details, and a critical disclosure about whether the vendor's services will involve direct student contact. The form mandates that all vendors must submit this application alongside a completed IRS W-9 form, with specific instructions that purchase orders over $500 will only be processed after receiving a valid RCS purchase order.
The application includes specific administrative requirements for vendors, such as directing all invoicing to RCS Accounts Payable at a specified address or email (ap@rochester.k12.mi.us), and mandating that any information changes must be communicated in writing to the RCS Purchasing Department at purchasing@rochester.k12.mi.us. The form provides sections for purchase order information and payment details, with spaces for multiple address and contact information. The vendor must also acknowledge key terms, including liability limitations for orders over $500 without a valid purchase order, and provide authorization through a signature, printed name, and title.
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Text version
ROCHESTER COMMUNITY SCHOOLS
VENDOR APPLICATION
Vendor Legal Name:
Doing Business As:
Parent Company:
TIN/EIN: or SSN:
Vendor email to send purchase orders:
Vendor email to send Accounts Payable items:
Vendor Phone:
Will vendor provide a service which comes in direct contact with students?
State: Zip:
Contact Email:
Contact Phone:
State: Zip:
Contact Email:
Contact Phone:
Signed: Date:
Printed Name: Title:
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.
(circle one)
PAYMENT INFORMATION (Remit To)
Vendor Fax:
PURCHASE ORDER INFORMATION
YES or NO
AUTHORIZATION
Contact Name:
Address 1:
Address 2:
City:
Contact Name:
Address 1:
Address 2:
City:
»»»»»»»»»»This document MUST accompany a completed IRS W-9 form.«««««««««« rev 8/2022
Sheet1
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