Required Vendor Application Form.pdf

This is a Vendor Application Form issued by the Borough of Naugatuck, Connecticut, in support of Request for Proposal FY27-B117-RFP for general construction equipment, roof repairs, and associated labor and material rates. The solicitation opened on April 10, 2026 at 2:45 PM EDT and closes on April 28, 2026 at 11:00 AM EDT. The form requests vendors to specify whether services will be performed at borough property or the vendor's location and requires submission of a completed W-9 form, Certificate of Insurance (COI), and signed Insurance Agreement. State licensing requirements must be documented if applicable to the type of work being performed, with current license copies required for both the vendor and any employees performing onsite work such as electrical or HVAC services. No information regarding site visits, bidders' meetings, or conferences is documented in the available materials.

The application form collects vendor information including tax identification, business organization type, and annual purchase volume expectations to support internal procurement tracking and payment processing decisions. Vendors are required to identify the general ledger line item under which the work will be classified and indicate the anticipated purchase authority and rationale for vendor addition. The form does not specify pricing structures, contract values, or award amounts. All vendors meeting the submission requirements are eligible to apply, with no disclosed set-asides or restrictions based on organization type. Inquiries regarding the procurement should be directed to Jennifer Scully, Town of Naugatuck, at 203-720-7025 or jscully@naugatuck-ct.gov.