Vendor_Registration_Form_Fillable_-_6.2.2023.pdf

PDF 143 KB Posted

Attached to
Graduation Supplies
Solicitation number
27-008EE-32RFP
Issued by
Maricopa County, Arizona

About this file

This document is a Vendor Registration Form for the Tempe Union High School District No. 213 in Arizona. The form is required for all 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. The form collects essential vendor information including business name, legal business name, addresses for both the principal place of business and payment remittance, contact information, and details regarding the services or products to be provided. Key requirements include disclosure of whether the vendor is a District employee, whether services will be provided in the presence of students or on District property, and identification of the TUHSD department or person coordinating the business relationship. The registration process mandates submission of a completed W-9 form and a Certificate of Insurance listing TUHSD as an additional insured. If services are to be provided in the presence of students on District property, vendors must also provide a D.P.S. Fingerprint Clearance Card for each individual and appropriate insurance documentation.

All Purchase Orders issued by TEMPE Union High School District are subject to the District's standard Terms and Conditions, with a specific link provided for contracts under $100,000. Vendor registration is contingent upon submission of all required documentation, including the W-9 and Certificate of Insurance, with copies maintained on file by the District. The vendor must sign and date the registration form to indicate acceptance of TUHSD Terms and Conditions. No specific pricing terms, set-asides, or contract amounts are outlined in this registration form, as it functions as a prerequisite administrative document rather than a procurement solicitation with defined financial or award parameters.

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Text version

Vendor Registration Form Tempe Union High School District No. 213

500 W. Guadalupe Rd.

Tempe, AZ 85283

Phone: (480) 345-3734 or (480) 345-3796 purchasing@tempeunion.org

Date: __________________ Are you a District Employee? No *Yes *If yes, please refer to District policy G-0700 and Conflict of Interest Disclosure Form.

Will the vendor be providing services: in the presence of students No *Yes; on District property? No *Yes *If yes, a D.P.S. Fingerprint Clearance Card (for each individual) and Certificate of Insurance with TUHSD listed as an Additional Insured is required.

Services/Products Provided: _________________________________________________________________________

All requests to add vendors shall come through TUHSD staff. Please complete and return forms to the TUHSD staff member that will be doing business with you.

Person/Department you are working with at TUHSD: ___________________________________________________

P.O. Issued to: Payment Remittance:

Business Name (D.B.A.) Legal Business Name

Address Address for Payments

Address Address for Payments

City

State Zip Code City State Zip Code

Contact Name Payment Contact Name

Contact Email

Payment Contact Email

Where PO should be emailed:

Contact Phone Number

Payment Contact Phone Number

The District must have a valid W-9 https://www.irs.gov/pub/irs-pdf/fw9.pdf and Certificate of Insurance. You will not be registered without a copy on file. Note: All Purchase Orders are subject to the Tempe Union High School District’s terms and conditions. TUHSD Terms & Conditions under $100k

I accept TUHSD Terms & Conditions: Signature: ___________________________ Date: ________ https://www.irs.gov/pub/irs-pdf/fw9.pdf https://drive.google.com/file/d/1aLZSbRE1WJoCnBQ-aVDpoiXQmCdtA_6i/view

Date:
Are you a District Employee: Off
Will the vendor be providing services in the presence of students: Off
ServicesProducts Provided 1:
ServicesProducts Provided 2:
PersonDepartment you are working with at TUHSD:
Business Name DBA:
Legal Business Name:
Address:
Address for Payments:
Address_2:
Address for Payments_2:
City:
State:
Zip Code:
City_2:
State_2:
Zip Code_2:
Contact Name:
Payment Contact Name:
Contact Email:
Payment Contact EmailWhere PO should be emailed:
Contact Phone Number:
Payment Contact Phone Number:
undefined: Off
Date_2:
Text1:
Text2:

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