Chesapeake Public Schools Bidder's Application Form

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Chesapeake Public Schools
Bidder's Application Form

Purchasing Department
School Administration Building
312 Cedar Road
Chesapeake, VA 23322
Phone: (757) 547-0265
Fax: (757) 547-0279


Individuals or companies interested in being added to the Chesapeake Public Schools bidders' list must file this application with the Purchasing Department. Please notify Chesapeake Public Schools of all changes in your name, company name, address, telephone number, fax number, etc., and any deletions or additions you are interested in providing.

IT IS IMPERATIVE THAT THE APPLICANT COMPLETE ITEM #13

(Please read carefully)

Check one
 
 




Address
 
 
  
 
  
 

 
 
 
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2. Type of Organization

3. Applicant is a (check all that apply)

4. Principals- complete all of the following:
 
 
 
      
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Manager 
      
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5. Annual Gross Sales


Yes     No  
(If yes, please provide your Virginia State Registration Number and information concerning your Trade Classification below)






(i.e. plumber, carpenter, mason)

References:
9. School Districts and/or municipal governments in Virginia where you have been a successful bidder (within the past 5 years)
    including contact person, and number of years as a successful bidder with each reference:
 
    
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10. Other Business References (within the past 5 years) including contact person and number of years for which your company has provided services:

 
    
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12. The above named firm hereby certifies that it is classified as follows:

CHECK ALL THAT APPLY
Minority-Owned Business
 
 
 
    

13. PLEASE LIST BELOW THE NIGP CODES FOR THOSE TYPES OF EQUIPMENT, SUPPLIES, OR SERVICES YOUR
     COMPANY IS CAPABLE OF PROVIDING AND FOR WHICH YOUR COMPANY WISHES TO RECEIVE BIDS/RFPs.
     NIGP CODES ARE AVAILABLE HERE.
You must have Adobe Acrobat Reader to view the NIGP codes.

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I hereby certify that the information supplied herein is correct and that neither the applicant nor any person(s) connected with the applicant as a principal or officer, to my knowledge, is now debarred or otherwise declared ineligible by any agency of the Federal, State and/or Local Government from any type of bidding.

 

 



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