Bidder Registration - Kent County Fiscal Services Purchasing Division

Kent County Fiscal Services Purchasing Division 300 Monroe Ave., NW Grand Rapids, MI 49503 Telephone: (616) 632-7720 Fax: (616) 632-7715 OFFICE USE ONLY Bidder Registration NEW REVISED Vendor Name and Mailing Address for Bidding Forms and Purchase Orders: Business Name: Address: City: Vendor Contact: Telephone: ( FAX: ( E-Mail: Website: Federal I.D. Number: Dun and Bradstreet Number: Number of Years in Business: ) ) Ext: State: Zip: Mailing Address for Payments (if different from preceding): Business Name: Address: City: Billing Contact: Telephone: ( FAX: ( E-Mail: ) ) Ext: State: Zip: Type of Organization: Individual Partnership Non-Profit Organization Corporation, Incorporated Under Laws of the State of: Local Vendor (eligible if business licensed in Kent County) Eligibility: Minority Business Disabled Busniess Woman-Owned Business Not Applicable Persons Authorized to Sign Bids, Offers and Contracts: NAME TITLE Type of Business: Sole Proprietor Manufacturer Wholesale Dealer Limited Contractor Retail Dealer Construction: Unlimited Contractor Service Establishment (define): Other (define): Corporations and Partnerships - Please supply the following information: President: Secretary: Sales Person: Billing/Invoice Payment Terms: Failure to respond to four Bid Invitations, Requests for Proposals or Requests for Quotations shall indicate lack of interest and, the vendor's name shall be removed from the Bidder's List. A vendor may maintain active status on the Bidder's List by submission of a bid or notice in writing that it is unable to bid on a particular transaction but wishes to remain on the list. Please notify the Kent County Purchasing Division immediately of any changes in name, address, telephone number, personnel, products and services or any other information contained in this application. I hereby certify that information supplied herein is correct. Vice President: Treasurer: Print or Type Name and Title Signature American LegalNet, Inc. www.FormsWorkflow.com Please place a checkmark ( ) by the items you are interested in supplying. 001 Administrative, Financial, and Management Services 906 Architectural Services, Professional 907 Architectural/Engineering Services, Non-Professional 918 Consulting Services 924 Educational Services 925 Engineering Services, Professional 946 Financial Services 948 Health Related Services 952 Human Services 953 Insurance & Insurance Services (All Types) 958 Management Services 998 Sale of Surplus & Obsolete Items 90610 Buildings-Architectural Design 90652 Interior Design, Space Planning, Exhibit/Displays 91240 Demolition Services 91826 Communications: Public Relations Consulting 91829 Computer Software Consulting 91840 Employee Benefits Consulting 91841 Energy Conservation Consulting 91875 Management Consulting 91895 Telecommunications Consulting 92586 Surveyor Services, Land 94615 Appraisal Services, Real Estate 94616 Appraisal Services (not otherwise classified) 94620 Auditing 94625 Banking Services 94638 Custom Brokerage Services (Incl.Stock/Bonds) 94655 Inventory Services 94874 Professional Medical Services (Incl. Physicians/All Specialties) 95209 Autopsy & Other Coroner Type Services 95826 Construction Management Services 95861 Insurance & Risk Management Services 96149 Legal Services, Attorneys 96150 Legal Services Including Depositions/Witness Testimony 96167 Sign Language Services for the Hearing Impaired 96172 Transcription Services: Legal & Medical 96175 Translation Services 96224 Courier/Delivery Service (Including Air Courier Service) 96225 Disposal & Removal, Dead Animals 96248 Interior Design/Decorator Services 96256 Moving Services 96269 Personnel Services, Temporary 96286 Transportation of Goods/Other Freight Services 99046 Guard & Security Services 002 Agricultural Equipment and Related Products and Services 019 Agricultural Crops & Grains, incl. fruits, melons & vegetables 020 Agricultural & Equipment Implements 022 Agricultural Implement & Accessory Parts 040 Animals, Birds, Marine Life & Poultry, incl. accessory items 325 Feed, Bedding, Vitamins & Supplements for Animals 335 Fertilizers & Soil Conditioners 515 Lawn Maintenance Equipment, Accessories & Parts 595 Nursery Plants Stock, Equipment & Supplies 675 Poisons: Agricultural & Industrial 790 Seed, Sod, Soil & Inoculants 810 Spraying Equipment (except Household, Plants & Paint) 98836 Grounds Maintenance: Mowing, Edging (not tree trimming) 02015 Cutters & Shredders (Mowers): Tow Type, Center Mount 02067 Mower/Tractor Unit/Self-Propelled for Slope Mowing 04002 Animal Carriers 32505 Animal Food for Zoo & Farm Animals 32525 Dog & Cat Food 87505 Animal Control Equipment: poles, muzzles, restrainers 96872 Snow & Ice Removal Services American LegalNet, Inc. www.FormsWorkflow.com 98888 Tree Trimming & Pruning Services 003 Arts, Crafts, Entertainment, Theatre 037 Amusement, Decorations, Entertainment, Toys, etc. 050 Art Equipment & Supplies 052 Art Objects 232 Crafts, General 233 Crafts, Specialized 860 Tickets, Coupon Books, Sales Books, Strip Books, etc. 004 Automotive Products, Vehicles, and Services 055 Automotive Accessories for Autos, Buses, Trailers & Trucks 060 Automotive & Trailer Maintenance, Repair/Replacement Parts 065 Automotive & Trailer Bodies, Accessories & Parts 070 Automotive Vehicles & Related Transportation Equipment 075 Automotive Shop Equipment & Supplies & Related 110 Belts & Belting: Automotive & Industrial 405 Fuel, Oil, Grease & Lubricants 863 Tires & Tubes 05574 Racks, Vehicle (Gun, Hat, Etc.) 07057 Trucks, Fire Protection & Crash Rescue 96890 Vehicle Towing & Storage 99894 Vehicles, incl. Autos, Trucks, Trailers, Vans, Motorcycles, etc. 005 Building Equipment, Supplies, and Services 005 Abrasives 010 Acoustical Tile, Insulating Materials & Supplies 135 Bricks & Clay Products, Refract. Materials & Stone/Tile Prod 150 Builder's Supplies 155 Buildings & Structures: Fabricated & Prefabricated 225 Coolers, Drinking Water (Water Fountains) 295 Elevators & Escalators, Building Type and Moving Walks 440 Glass & Glazing Supplies 540 Lumber Siding & Related Products 570 Metals: Bars, Plates, Rods, Sheets, Tubing & Fabr. Items 630 Paint, Protective Coatings,Varnish, Wallpaper, etc. 635 Painting Equipment & Accessories 665 Plastics, Resins, Fiberglass: construction, laminating, & supplies 770 Roofing 909 Building Construction Services, New, Repair & Maintenance 28549 Lamps, Miscellaneous (Not Otherwise Classified) 90937 Doors & Windows 91006 Carpentry Maintena