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Vendor List Application
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This Vendor List is for the purchase of equipment, materials, or supplies not connected to a public works project. Purchases, including taxes, less than $15,000.00 shall have quotes from Vendor List. Purchases between $15,000 and $60,000 shall obtain a minimum of three (3) quotes from the Vendor List. Purchases over $60,000 shall be by contract.
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Vendor Name (Full legal name on IRS Tax Return)
DBA Vendor Name
Legal Business Address
Business Location Address (If different than legal)
Request for Taxpayer Identification Number & Certification
Substitute IRS Form W-9
IRS Form W-9
IRS Form W-9
Attach IRS Form W-9
Tax Classification (check appropriate boxes)
Individual/Sole Proprietor/Single Member LLC
C - Corporation
S - Corporation
Limited Liability Company
Social Security Number:
Federal Employer Identification Number:
Please check box only in categories that apply to your business and for which you want to be rostered in the box(es) below:
Accounting & Auditing
Building Repairs & Maintenance
Computer Equipment & Services
Electrical & Maintenance Supplies
Equipment /Tools Repair & Maintenance
Janitorial Services & Supplies
Office Equipment & Furniture
Painting & Painting Supplies
Printing & Binding
My company wishes to be added to the Vendor List for the categories as indicated by the boxes I have checked. I understand that it is my company's responsibility to keep informed of current requirements and notices posted to the Kittitas PUD's website regarding the Vendor Listing and Kittitas PUD is not responsible for communicating changes or amended requirements by the State to the Company. This submission confirms signature on W-9 Form.
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