Vendor_Registration_Form_Fillable_-_6.2.2023.pdf

This is a vendor registration form for the Tempe Union High School District No. 213 located in Tempe, Arizona. The form serves as the administrative prerequisite for vendors seeking to conduct business with the district and must be completed and submitted to the appropriate TUHSD staff member before a vendor can be registered in the district's system. The form requires vendors to identify the services or products being provided, designate points of contact for both the vendor and the district's payment department, and specify whether services will be provided in the presence of students or on district property. Proposals for Employee Benefits-Dental and Vision coverage are due no later than 2:00 pm on Wednesday, November 4, 2026, through the district's Procurement Portal. The district intends to continue offering voluntary dental and vision plans for the July 1, 2027 through June 30, 2032 plan year, specifically seeking to match current plan designs including a voluntary PPO dental plan, a voluntary DHMO dental plan offered by Cigna, a pre-paid DHMO plan offered by Delta Dental, and a voluntary vision plan offered by Davis Vision.

All vendors must provide a completed W-9 form and a valid Certificate of Insurance with TUHSD listed as an additional insured before registration is finalized. If services will be provided in the presence of students or on district property, vendors must obtain a D.P.S. Fingerprint Clearance Card for each individual and provide proof of insurance. All purchase orders are subject to the district's terms and conditions for contracts under $100,000, which vendors must acknowledge by signature on the registration form. Vendors seeking to match existing plan designs should quote plans that align as closely as possible with current offerings; if exact matches are not feasible, vendors should propose alternative plans and clearly document any deviations from the existing benefit schedules.