Suppliers who are interested in bidding on and/or supplying products or services to the District should fill out this form as completely as possible, attaching information about your company (i.e., background, financial reports, etc.), then submit all documents to the address at the bottom of this form. You may then be contacted when your particular product or service is required. This Supplier Information Form will remain active for a period of three years. Supplier is responsible for resubmitting. Completion/submission of this form does not imply nor guarantee work with the District. Contact Person
PO Box and Physical Address
E-mail Address
City/State/Zip
Telephone and/or Mobile #
Online Website Address
Fax #
Ownership of Business
Partnership
State of Corporation
Corporation
Federal Tax Identification #
Commodity Type
Supplier Name
FOR TID USE ONLY:
SUPPLIER INFORMATION FORM
Sole Proprietorship
Payment Terms
Shipping Terms
W-9 Attached
Number of years in business
Number of employees
If from out of state, does your company collect California State Sales Tax?
Yes
No
Does your company have online order tracking capability?
Yes
No
Is your catalog/line card/price list attached?
Yes
No
Describe your products or services (check all that apply): PARTS: Electrical Supplies Electronic Supplies Equipment Equipment Rental Fencing & Gates Flooring Fuel & Lubricants Furniture
Discounts Available – State/Government Contracts:
Hardware Hazmat Supplies Industrial Supplies & OEM Parts Janitorial Supplies Lodging Office Equipment Office Supplies
Yes
No
Paint & Coatings Pipe / Steel Reprographics / Sorting Safety Supplies Security Supplies Telecommunications Tools Transformers
Transmission Equipment & Supplies Transportation Uniforms Vehicle Parts Vehicles Water Treatment
Power Plant Power Resources Public Relations
Security Training
Power Distribution Power Plant Recycling Security & Fire Protection
Telecommunication Const. Testing Uniforms Vehicle Service & Repairs
If yes, specify
CONSULTING/ PROFESSIONAL SERVICES: Architects Energy Efficiency Programs
Special licensing requirements?
Engineering Civil Engineering Electrical Environmental
Yes
No
Financial Services Information Technologies Management / Personnel
If so, Type / #:
OUTSIDE SERVICES: Aircraft Asphalt & Paving Drilling Electrical Contractor Equip. Maint. & Repairs
Fabrication & Welding Facilities/Building Maint. Fencing General Contractor Hazmat Trans. & Disposal
Janitorial Landscaping Marine Office Equipment Painting
On-site work if applicable (able to provide): General Liability Insurance: Contractor License # (if applicable):
Yes
No
Workers Comp:
Yes
No
SB854 Registration No.:
Classification (i.e.: C10):
Additional comments:
Submitted by: RETURN TO:
Date: Turlock Irrigation District, Materials Management Department P.O. Box 949, Turlock, California 95381-0949 Phone: 209-883-8401 Fax: 209-656-2146 E-mail: purchasing@tid.org
Supplier Name
Abatement Aggregate Air Conditioning Auctions Cable & Wire Chemicals Computers Cranes