PURCHASING DEPARTMENT

Hill Educational Center 136 Elm Street, #243 Cumming, GA 30040 Phone: 770-781-6603 Fax: 770-888-0222 www.forsyth.k12.ga.us

VENDOR APPLICATION FORM

APPLICANTS NAME AND MAILING ADDRESS FOR BIDDING FORMS AND PURCHASE ORDERS: ______________________________________________ ______________________________________________ ______________________________________________ MAILING ADDRESS FOR PAYMENTS (PLEASE SPECIFY IF SAME) ______________________________________________ ______________________________________________ ______________________________________________

TELEPHONE#:___________________________ CELL/ALT#:_____________________________

FAX#:___________________________________ EMAIL:__________________________________ WEBSITE:________________________________

DATE OF APPLICATION: _________________________

FEDERAL I.D.# OR SOCIAL SECURITY#: ________________________________________

PERSON(S) AUTHORIZED TO SIGN BIDS, OFFERS AND CONTRACTS (INDICATE IF AGENT): 1)_________________________________________ 2)_________________________________________

TYPE OF SERVICE OR PRODUCT (USE THE COMMODITY CODE LIST BELOW) 1) ________________ 2)_______________ 3) ________________ 4)_______________

3)_________________________________________ 5) ________________ 6)________________ 4)_________________________________________ CIRCLE BUSINESS FUNCTION: 1) MANUFACTURER 2) FACTORY REPRESENTATIVE 3) WHOLESALE DEALER 4) RETAIL DEALER 5) SERVICE 6) OTHER: I HEREBY CERTIFY THE ABOVE INFORMATION SUPPLIED IS CORRECT. ___________________________________________ PRINT NAME Specific Products/Services/Makes/Models ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ VENDOR IS REQUIRED TO PROVIDE A COPY OF THEIR W-9 BEFORE THEY WILL BE ENTERED INTO DATABASE. PLEASE PROVIDE W-9 ALONG WITH APPLICATION.

W-9 INCLUDED W/ APP Y_____ N_____ ___________________________________________ SIGNATURE PLEASE NOTE: Entry into the FCS Vendor Database does not constitute an open approval for FCS Schools and Departments to purchase from your organization. All new entries will be tagged inactive until you are awarded a contract through competitive solicitation and/or until a school or user department request activation based upon satisfaction of competitive thresholds as set forth by FCS Board of Education Purchasing Policy and FCS Purchasing Regulations

COMMODITY CODE LIST

101 102 103 104 105 106 107 201 202 203 204 205 206 301 302 303 304 305 306 401 402 403 404 405 406 407 408 409 501 502 503 504 505 506 507 508 509 510 511 601 602 AUTOMOTIVE Buses Parts & Accessories for Buses Vehicles: Cars, Trucks, SUVs & Vans Parts and Accessories for Vehicles Fuel ( Gas & Diesel) Tires & Service Automotive Miscellaneous AUDIO VISUAL Audio Visual Equipment & Supplies Audio Visual Repairs Electronic Whiteboards Media Equipment, Lighting, & Sound Radio Communications & Equipment Audio Visual Miscellaneous BAND & MUSIC Band & Orchestra Instruments & Equipment Choral Music & Equipment Band & Choral Music Piano Tuning Band & Music Service & Repairs Band & Music Miscellaneous CONSTRUCTION Concrete & Asphalt Engineering & Architecture New Building Playground Portables Renovations Construction & Building Supplies/Materials Structures - Bleachers Construction Miscellaneous EDUCATION & INSTRUCTION Art & Craft Supplies Books & Agendas Classroom Instructional Supplies Curriculum, Teaching Aids & Equipment Drawing, Drafting Supplies & Equipment Graphic Art Supplies Media Center Supplies Recycling Surplus Textbooks Science Supplies & Equipment Test Scoring Machines & Forms Education & Instruction Miscellaneous FOOD & NUTRITION Food Items Beverages 603 604 605 606 701 702 703 704 705 706 707 708 709 801 802 803 804 805 806 807 808 901 902 903 904 905 906 907 908 909 910 911 912 913 914 915 916 917 918 919 920 921 922 Kitchen & Cafeteria Equipment - Small Kitchen & Cafeteria Equipment - Large Uniforms Food & Nutrition Miscellaneous FURNITURE Auditorium Seating Cafeteria Classroom Lockers Filing Storage Systems Media Center / Library Music Science Furniture Miscellaneous GROUNDS Fencing Fertilizers Heavy Equipment Landscape: Installation & Service Landscape Materials: Straw, Mulch, etc. Lawn Care Equipment Pest Control Grounds Miscellaneous MAINTENANCE Batteries Custodial Equipment & Supplies Doors & Locks Electrical Equipment & Supplies Electrical Service & Repairs Floor Covering & Installation Gases, Containers, & Equipment Glass & Acrylics HVAC Equipment & Supplies HVAC Service & Repair Lighting Equipment & Supplies Lumber / Wood Equipment Machinery Material Handling & Storage Supplies Painting Equipment & Supplies Pipe & Conduit Plumbing Equipment & Supplies Plumbing Service & Repair Road Maintenance Equipment Tools Powered & Non-Powered Window Equipment & Supplies Maintenance Miscellaneous

1001 1002 1003 1004 1005 1006 1007 1008 1009 1010 1101 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 1135 1136 1137 1138 1139 1140

OFFICE Computers & Equipment / Hardware Computer Software General Office Supplies & Copy Paper Packaging, Boxes & Supplies Printer/Copier Supplies: OEM Printer/Copier Supplies: Non-OEM (Remanufactured) Office Furniture Office Machines & Equipment Office Equipment Service Office Miscellaneous SERVICES Carpeting Carpentry Class Room Trailer Moving CPR Training Demolition Electrical Elevators Environmental Consulting Environmental Remediation Fencing Financial & Insurance Fire Alarm Fire Extinguishers Generator Ground Maintenance Health Care Therapy HVAC Insurance Janitorial Lighting Moving Office Equipment Repair Painting Pest Control Photography Plumbing Printing Roofing Septic Pump Signs Sprinkler Systems Video Production Welding Recycling Surplus Textbooks Salvage Uniform Leasing Utilities Waste / Sanitation Services Miscellaneous Vending Services

1201 1202 1203 1204 1205 1206

SPORTS / P.E. Athletic Sporting Equipment Athletic Lockers Athletic Uniforms Fitness / Weight Training Equipment Physical Education Equipment & Supplies Sport Floors

1207 Playground / Parks & Recreation Equipment 1208 Sports & P.E. Miscellaneous TECHNOLOGY 1301 Cabling 1302 Cell Phone / Pagers 1303 Computer Hardware 1304 Computer Software 1305 Computer Peripherals 1306 Printers 1307 Radios & Accessories 1308 Technology Parts & Accessories 1309 Voice / Data Equipment 1310 Website Design & Software 1311 Technology Miscellaneous 1312 Surplus Technology Equipment MISCELLANEOUS 1401 Consulting 1402 Diplomas & Graduation Materials 1403 Drapes & Window Treatments 1404 Health & Wellness 1405 Magazine Subscriptions 1406 Professional Photography 1407 Promotional Items 1408 Security & Surveillance 1409 Warehouse Equipment & Supplies 1410 Training 1411 Other Miscellaneous 1412 Flags & Accessories 1413 Shredding/Document Destruction