PROCURMENT & WAREHOUSING SERVICES DEPARTMENT VENDOR REGISTRATION FORM

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PROCURMENT & WAREHOUSING SERVICES DEPARTMENT

Thank you for your interest in becoming a vendor with The School Board of Broward County, Florida

(SBBC). Becoming a vendor is as simple as:

1) Complete IRS Form W-9 (Providing Tax Identification Number);

2) Complete a Vendor Registration Form; and

3) Complete the Vendor Registration: Material Group Selection List.

The Internal Revenue Service requires that SBBC have on file, a completed Form W-9 for all vendors.

Please complete the attached Form W-9 and submit it to SBBC with the Vendor Registration Form. Please

visit the IRS website at

www.IRS.gov

for instructions on completing form.

VENDOR REGISTRATION FORM WILL BE PROCESSED UPON RECEIPT OF ALL REQUIRED DOCUMENTATION:

PLEASE NOTE:

You may email, fax, or mail your Vendor Registration Form with attachments to:

email:

Purchasinghelpdesk@browardschools.com

Mail: Procurement & Warehousing Services Department

7720 West Oakland Park Boulevard, Sunrise, FL 33351

Contact Person: Susan Angelson

Phone: (

754

)-321-0505 Fax: (754)-321-0533

VENDOR REGISTRATION FORM

REQUIRED FORMS

FORM W-9

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*Required Fields.

*

Date:

*

ContactPerson:

*

New

or update vendor

:

*

BusinessName:

*

Telephone:

(

)

*

Facsimile(Fax):

(

)

WebsiteAddress:

*

MailingAddress:

*

EmailAddress:

*

Federal Tax ID Number: (If None, SSN)

Remit to Address: (If Different from Above)

*

DateBusiness Established:

*

Indicate which method you prefer to have purchase orders

delivered:

Please check the boxes below to indicate the minority

status of your business.

1. Woman - Owned Business

2. African American - Owned Business

3. Hispanic -Owned Business

4. Asian - Owned Business

5. Other

Email

Fax

U.S. Mail

1. Corporation

2. Individual / Sole Proprietor

3. Partnership

4. Other

TYPE OF BUSINESS

MINORITYBUSINESSSURVEY

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VENDOR REGISTRATION: MATERIAL GROUP SELECTION LIST

Material

Group Material Group Description

Material

Group Material Group Description

005 ABRASIVES 220 MEASURING & MONITORING EQUIPMENT (PPO ONLY-780 FOR SCALES) 010 INSULATION & INSULATING MATERIALS 225 WATER FOUNTAINS & COOLERS

022 AGRICULTURAL EQUIPMENT & PARTS 240 CULINARY ARTS: CUTLERY, EQUIPMENT, & SUPPLIES (VOC) 025 AIR COMPRESSORS & ACCESSORIES 255 PARKING TAGS, DECALS & PASSES

031 A/C, HEAT, VENT, & FAN EQUIPMENT (EXCLUDES

SERVICES) 25505 LIBRARY BARCODES

037 PROMOTIONAL & SPECIALTY ITEMS 260 DENTAL EQUIPMENT & SUPPLIES 040

ANIMALS: BIRDS & MARINE LIFE 265 CURTAINS & DRAPERIES (FOR STAGE, SEE 85522) 045 APPLIANCES: HOUSEHOLD & COMMERCIAL 280 ELECTRICAL: CABLES & WIRES (EXCLUDES

ELECTRONICS) 050 ART EQUIPMENT & SUPPLIES (SEE 42003 FOR

FURNITURE) 285

ELECTRICAL: POWERSTRIPS, LAMPS, BULBS, & BATTERIES, ETC.

055 AUTOMOTIVE: ACCESSORIES FOR AUTOMOBILES 287 ELECTRONICS: METROLOGY PARTS 060 AUTOMOTIVE: SUPPLIES & EQUIPMENT 305 DRAFTING EQUIPMENT & SUPPLIES 065 AUTOMOTIVE: TRAILER BODIES & ACCESSORIES 310 ENVELOPES

071 VEHICLES: PURCHASE 318 LOCK & FARE BOXES

072 VEHICLES: TRUCKS (INCLUDES DIESEL, GASOLINE, &

ELECTRIC) 320 FASTENERS, BOLTS, NUTS, PINS, RIVETS, ETC.

075 AUTOMOTIVE SHOP & RELATED EQUIPMENT 325 PET & VETERINARY SUPPLIES 080 AWARDS: TROPHIES, PLAQUES, RIBBONS, ENGRAVING,

ETC. 330

FENCE / FENCING MATERIALS (SEE 98815 FOR REPAIR/SERVICE)

085 BAGS, BAGGING, TIES, & EROSION SHEETING

(NON-CUSTODIAL) 335 FERTILIZERS & LAWN CHEMICALS

090

BAKERY EQUIPMENT: COMMERCIAL 340 FIRE PROTECTION DEVICES INCLUDING ALARM & SPRINKLER SYSTEMS 105

BEARINGS - SEE CLASS 060 FOR WHEEL BEARING 345 SAFETY EQUIPMENT & SUPPLIES (NON-MEDICAL) 110 BELTS: AUTOMOTIVE 350 FLAGS & BANNERS (SEE 35030 FOR POLES) 120

BOATS, MOTORS, MARINE EQUIPMENT, & SUPPLIES 360 CARPET & FLOORING: MATERIALS & TOOLS (EXCL GYM) 135 BRICKS & TILE: QUARRY, MASONRY, CLAY, & STONE 365 FLOOR MACHINES / PARTS (INSIDE BUILDING)

150 BUILDING SUPPLIES 375 FOODS: BAKERY PRODUCTS / PIZZA (FRESH)

155 BUILDINGS & STRUCTURES: PORTABLES 380 FOODS: DAIRY PRODUCTS (FRESH) 160 CAFETERIA: MEAT PROCESSING EQUIPMENT 385 FOODS: FROZEN

165 KITCHEN EQUIPMENT: SERVING LINES 390 FOODS: PERISHABLE 175 LABORATORY BALANCES & CHEMISTRY EQUIPMENT

(VOCATIONAL) 39091 WATER: BOTTLED

195 TIMECLOCKS, RECORDERS, & ACCESSORIES 393 FOODS: JUICE & MILK 200 UNIFORMS: BAND, ATHLETICS, CHEERLEADER &

ACCESSORIES 395 FORMS (VARIOUS PRINTING FORMS)

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Material

Group Material Group Description

Material

Group Material Group Description

405 FUEL 600 OFFICE EQUIPMENT: PURCHASE (CALCULATORS, TYPEWRITERS, ETC.) 40531 GREASE & LUBRICANTS: ALL TYPES 615 OFFICE SUPPLIES: GENERAL

40539 OIL: ALL TYPES 625 OPTICAL EQUIPMENT, ACCESSORIES, & SUPPLIES

410 FURNITURE: HEALTH CARE, (HOSPITAL) 630 PAINT, PAINT SUPPLIES, & EQUIPMENT

415 FURNITURE: LABORATORY 631 WALL COVERINGS (INTERIOR)

420 CAFETERIA: FURNITURE 640 PAPER & PLASTIC PRODUCTS: DISPOSABLE 425 FURNITURE: OTHER (SEE 42003 FOR ARTS & CRAFTS) 645 PAPER, COPY, FORMS & GENERAL OFFICE USE 435 CAFETERIA: SANITIZERS 650 EQUIPMENT, EXTERIOR: PARK, PICNIC, PLAYGRND,

BENCH & BLEACHER

440 GLASS & GLAZING SUPPLIES 652 COSMETOLOGY EQUIPMENT & SUPPLIES 445 TOOLS & ACCESSORIES: NEW (HAND & POWER) 655 PHOTOGRAPHIC & I.D. EQUIPMENT & SUPPLIES 450 HARDWARE: OTHER 665 CUSTODIAL: CAN LINERS (GARBAGE, TRASH, CART, ETC.) 45000 CAFETERIA: HARDWARE 66542 LAMINATING PRESSES, FILM, I.D. POUCHES, & SUPPLIES

460 HOSES, ACCESSORIES, & SUPPLIES: INDUSTRIAL 670 PLUMBING: SUPPLIES, EQUIPMENT, & SERVICES 465 MEDICAL OCCUPATIONAL EQUIPMENT & SUPPLIES 675 PESTICIDES: (EXCLUDES FERTILZER OR LAWN

CHEMICALS)

470 HANDICAPPED / DISABLED EQUIPMENT (INCLUDING WHEELCHAIRS) 680 POLICE EQUIPMENT & SUPPLIES 485 CHEMICALS, CUSTODIAL, & CAFETERIA: SUPPLIES EQUIP & PARTS 700 PRINTING PLANT EQUIPMENT & SUPPLIES 486 CUSTODIAL: WASTE RECEPTACLES: INTERIOR & EXTERIOR 710 HANDICAPPED / DISABLED: HEARING AIDS & PROSTHETIC DEVICES 490 MICROSCOPES: PURCHASE, REPAIR, & SERVICE 715 PUBLICATIONS/COPYRIGHTED MTLS (BID EX) 495 SCIENCE: LABORATORY SUPPLIES & EQUIPMENT 71504 EBOOK LIBRARY MEDIA

515 LAWN MAINTENANCE EQUIPMENT & ACCESSORIES 71510 TEXTBOOKS ONLY

525 LIBRARY EQUIPMENT & SUPPLIES 71544 TEXTBOOKS USED IN 6-12 LIT. INST.

540 LUMBER & RELATED PRODUCTS 71545 SCIENCE BOOKS

545 PRESSURE CLEANING EQUIPMENT & SERVICES 720 PUMPS, PUMPING EQUIPMENT, & ACCESSORIES 54511 COMPACTORS, REFUSE (PURCHASE OF) 725 RADIO COMMUNICATIONS EQUIPMENT

550 TRAFFIC CONTROL DEVICES (EXCLUDES SIGNAGE) 726 SATELLITE RECEIVING SYSTEMS 560 LIFTS: ALL & HYDRAULIC LIFTS, MATERIAL HANDLING EQUIPMENT 735 RAGS, SHOP TOWELS, & WIPING CLOTHS

570 STEEL / ALUMINUM / METAL: BARS & COLD / ROLLED STOCK 740 ICE MACHINE, REFRIGERATION, FREEZER EQUIPMENT, & ACCESSORIES 580 MUSICAL INSTRUMENTS: PURCH & REPAIR (INCLUDES SHEET MUSIC) 750 ROCK, SAND, & FILL

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VENDOR REGISTRATION: MATERIAL GROUP SELECTION LIST

Material

Group Material Group Description

Material

Group Material Group Description

770 ROOFING MATERIALS & SUPPLIES 91027 REFUSE SERVICES (GARBAGE / TRASH) 780 SCALES & WEIGHING APPARATUS 91030 GLASS REPLACEMENT & REPAIRS (BUILDING) 785 KINDERGARTEN SUPPLIES 91036 A/C, HEATING, & VENTILATION SERVICES 790 GRASS, SEED, SOD, SPRIGS, & SOIL 91039 CUSTODIAL / JANITORIAL SERVICES

795 HOME ECONOMICS EQUIPMENT & SUPPLIES 91052 BUILDING MAINTENANCE, INSTALLATION, & REPAIR 80014 BOOTS & KNEE PADS FOR CUSTODIAL CLEANING 91054 PAINTING OF SCHOOLS / BUILDINGS SERVICES

801 SIGNS & MARQUEES (NON-ELECTRONIC) 91059 PEST & ANIMAL CONTROL SERVICES (INCLUDING TERMITES) 803 LANGUAGE LAB SOUND SYSTEM PURCHASE & REPAIR 91066 ROOFING SERVICES

80563 SIGNS, MARQUEES, & SCOREBOARDS (ELECTRONIC) 91068 SEPTIC TANK MAINTENANCE & REPAIR SERVICES 810 SPRAYING EQUIPMENT (EXCLUDES HOUSEHOLD) 91082 WIRING AND OTHER ELECTRICAL MAINTENANCE 838 TELECOMMUNICATIONS EQUIPMENT, ACCESSORIES, &

SUPPLIES 912 CONSTRUCTION SERVICES: EXISTING FACILITIES

83832 TELEPHONE, CELL, BLACKBERRY, ETC. 913 ASPHALT & TRACK: PAVING & REPAIRS SERVICES 83835 INTERCOM & PUBLIC ADDRESS SYSTEMS (PURCHASE & REPAIR) 914 CONSTRUCTION SERVICES: NEW FACILITIES 83896 WIRE & CABLE: TELECOMMUNICATION 91438 ELECTRICAL: NEW CONTRUCTION

840 TELEVISION VIDEO EQUIPMENT & BLANK VIDEO TAPE 915 MAIL PRESORT / BARCODE SERVICES

850 TEXTILES, FIBERS, & HOUSEHOLD LINENS 91571 ADVERTISING: NEWSPAPER, PUBLICATIONS, & RADIO 855 THEATRICAL: COSTUMES, STAGE MAKEUP, EQUIPMENT, & SUPPLIES 91596 WEB PAGE DESIGN, MANAGEMENT, & MAINTENANCE SERVICES 860 TICKETS, COUPON BOOKS, & SALES BOOKS 918 CONSULTANTS / TRAINERS: EDUCATIONAL

863 TIRES: NEW (CARS, BUSES, ETC) 91830 CONSULTANTS / TRAINERS: TECHNOLOGY 870 WINDOW TREATMENTS & BLINDS (NEW) 91831 CONSULTANTS: FACILITIES & CONSTRUCTION 880 AUDIO VISUAL EQUIPMENT & SUPPLIES 91841 CONSULTANTS: ENERGY CONSERVATION 885 TANKS: CO2 FOR SWIMMING POOLS 91843 CONSULTANTS: ENVIRONMENTAL SERVICES 895 WELDING EQUIPMENT, SUPPLIES, & GASES 924 EDUCATIONAL TRAINING SERVICES 906 ARCHITECTURAL SERVICES, PROFESSIONAL 92420 TESTING & EXAMINATION SERVICES 907 ARCHITECTURAL, DRAFTING, TESTING SERVICES NON-PROFESSIONAL 925 ENGINEERING SERVICES, PROFESSIONAL 909 BUILDING CONSTRUCTION SERVICES 926 WASTE REMOVAL SERVICES

910 RUST REMOVAL SERVICES 92640 ENVIRONMENTAL AND ECOLOGICAL SERVICES 91009 CARPET CLEANING SERVICES 92645 TANKS, CHEMICAL DILUTION, INSPECTION, & TESTING 91013 ELEVATOR MAINTENANCE & REPAIR SERVICES 92677 RECYCLING SERVICES

91025 REFINISH GYM FLOOR SERVICES 928 VEHICLE REPAIR SERVICES

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Group Material Group Description Group Material Group Description

92846 GLASS REPLACEMENT & REPAIR (BUS, TRUCK, AUTO) 94828 DENTAL SERVICES

929 HEAVY EQUIPMENT & AGRICULTURAL MAINTENANCE SERVICES 94849 INDUSTRIAL HYGIENE SERVICES

92947 LIFTS, HYDRAULIC PERSONNEL, INSPECTION, REPAIR, & TRAINING 94855 MEDICAL SERVICES: NURSING & LABORATORY 92962 GOLF CART REPAIR SERVICES 952 DRUG & ALCOHOL TESTING

931 SOMAT MAINTENANCE SERVICES 95238 EMPLOYEE ASSISTANCE PROGRAMS 93111 ATHLETIC SUPPLIES / EQUIP MAINT & REPAIR 95268 UNEMPLOYMENT COMPENSATION SERVICES

936 EQUIPMENT MAINTENANCE / REPAIR SERVICES - GENERAL 953 INSURANCE & BENEFITS SERVICES - ALL 93609 ALARM EQUIPMENT MAINT / REPAIR (FIRE, ETC) 954 LAUNDRY & DRY CLEANING SERVICES 93625 ELECTRICAL EQUIPMENT - EXCEPT CABLE & WIRE 956 LIBRARY SERVICES (INCLUDING RESEARCH) 93640 HAND TOOL REPAIR SERVICES 95650 SUBSCRIPTIONS: NEWSPAPERS & MAGAZINES

93641 SAW SHARPENING 958 RISK MANAGEMENT SERVICES

93660 PRINTING EQUIPMENT REPAIR & SERVICES (INCLUDING OFFSET) 95850 FUEL RELATED SERVICES (FUEL TRANSPORT / CLEANUP / DISPOSAL ) 93680 STAGE RIGGING, INSPECTION, REPAIR, & MAINTENANCE 95870 OUTSOURCING SERVICES FOR MANAGEMENT, OPERATIONS

938 WHEELCHAIR LIFTS & ACCESSORIES REPAIR SERVICES 961 SPEECH & LANGUAGE SERVICES 939 OFFICE EQUIPMENT REPAIR & SERVICES 96115 CATERING SERVICES

93906 AUDIO VISUAL EQUIPMENT MAINTENANCE & REPAIR SERVICES 96117 INTERPRETER SERVICES

93921 COMPUTER MAINTENANCE & REPAIR SERVICES 96130 TEMPORARY LABOR, NON-TECHNICAL (SEE 962 FOR TECHNICAL) 93927 COPIER MAINTENANCE & REPAIR SERVICES 96131 UTILITIES ENERGY MANAGEMENT CONTRACTING 93954 MICROFICHE READER / PRINTER MAINTENANCE SERVICES 96149 LEGAL SERVICES (ATTORNEYS), COURT REPORTING 93959 PRINTER (MULTI-FUNCTION) MAINTENANCE & REPAIR

SERVICES 96151 LOBBYING SERVICES

93972 RADIO / TELECOMMUNICTIONS / TELEPHONE EQUIP: MAINT & REPAIR 96178 TRAVEL AGENCY SERVICES

940 TELEVISION EQUIPMENT TOWER SERVICES 962 TECHNICAL / PROFESSIONAL STAFFING SVCS (96130 FOR NON-TECH) 941 POWER GENERATION EQUIPMENT: MAINTENANCE / REPAIR / SERVICES 96205 AMUSEMENT & ENTERTAINMENT SERVICES 946 BANKING & FINANCIAL SERVICES 96209 AUCTIONEERING SERVICES

94612 RETIREMENT PLAN ADMIN & INVEST MGMT SVCS. 96216 TRANSPORTATION SERVICES, EXTRA CURRICULAR (SCHOOL & CHARTER) 94615 APPRAISAL SERVICES: REAL ESTATE 96223 CHEMICAL TREATMENT OF BOILER & TOWER WATER

94620 AUDITING SERVICES 96224 COURIER & DELIVERY SERVICES

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VENDOR REGISTRATION: MATERIAL GROUP SELECTION LIST

Material

Group Material Group Description

Material

Group Material Group Description 96227 DOCUMENT SHREDDING SERVICES: GENERAL 988 LAWN / GROUNDS MAINTENANCE SERVICES 96256 MOVING SERVICES 98815 FENCE / FENCING SERVICES: INSTALLATION, MAINTENANCE, & REPAIR

96257 PORTABLES (LEASE, PURCHASE, & RELOCATION) 98852 LANDSCAPING & PLANT SERVICES (SEE 988 FOR LAWN / GROUNDS) 96287 FIELD TRIP SERVICES (GRAD NIGHT, BAND TRIPS, ETC.) 98888 TREE TRIMMING & REMOVAL SERVICES

96295 STORAGE SERVICES - FULL SERVICE (SEE 984 FOR COMPUTER FILES) 98889 WEED CONTROL SERVICES: LAND & AQUATIC 963 REGISTRATIONS & MEMBERSHIPS 989 WATER TESTING SERVICES

965 PRINTING PREPARATION SERVICES: ETCHING, PHOTOENGRAVING, ETC. 990 POLICE & SPECIAL DETAIL SERVICES (ARMED) 966 PRINTING & TYPESETTING SERVICES (INCLUDES DIPLOMAS) 99010 ARMORED CAR SERVICES

968 PUBLIC WORKS AND RELATED SERVICES 99030 DEBRIS CLEAN UP & REMOVAL

96858 METER READING SERVICES 99037 EMERGENCY MEDICAL SERVICES (AMBULANCE)

971 LEASE / RENTAL FACILITIES 99041 FINGERPRINTING SERVICES

97182 TOILETS: PORTABLE, RENTAL, OR LEASE 99067 SECURITY GUARD SERVICES (UNARMED) 975 VEHICLE LEASING SERVICES 992 CUSTODIAL: CHEMICAL TESTING SERVICES 97524 CONSTRUCTION EQUIPMENT RENTAL SERVICES: OTHER 99231 TESTING SERVICES: NON-CHEMICAL

977 SCAFFOLDING RENTAL SERVICES 99255 CALIBRATION SERVICES: MISCELLANEOUS 97785 VENDING MACHINE SERVICES 998 SALE OF SURPLUS & OBSOLETE ITEM SERVICES 98120 BOOK AND PUBLICATION RENTAL LEASE OTHER (PLEASE SPECIFY)

98172 TENT & TARPAULIN RENTAL 983 RENTAL / LEASE SERVICES: CLOTHING 98386 WORK UNIFORMS SERVICES

984 STORAGE SERVICES (OFF SITE) FOR COMPUTER FILES 985 MAILING / POSTAGE MACHINE RENTAL

98512 A/V EQUIP & ACCESS RENTAL / LEASE

Figure

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References

  1. at www.IRS.gov
Related subjects :