Document Sample
Purchasing Division 951 Old Okeechobee Road Suite “D” West Palm Beach, Florida 33401 Telephone: (561) 838-5406 FAX: (561) 835-4688

Dear Representative: Your company is listed on the Town of Palm Beach's vendor database. We are updating this list in order to ensure that the Town has the correct information regarding your company and to add additional features now becoming available - faxing or e-mailing of the Purchase Orders. All vendors are required to complete a new Vendor Registration Form. A copy is attached for your convenience. This registration form includes a Commodity list so that your company may be included in the bidder's list. Please indicate the commodity (ies) that your company provides by checking the box next to the commodity. Select only the commodities that apply to your company. Failure to complete and return this registration may cause your company's name to be deleted from the active listing. Additionally, each vendor is responsible for providing updates to the Town for any changes to their information in order to maintain their active listing. Please follow these instructions when submitting your registration: 1. 2. 3. 4. Complete the Vendor Registration Form. Select the commodity (ies) supplied by checking the appropriate box. Sign the completed form. Mail or fax to: Town of Palm Beach – Purchasing Division 951 Old Okeechobee Road Suite “D” West Palm Beach, Florida 33401 Fax: (561) 835-4688

We look forward to working with your company in the future. Thank you for your continued interest in doing business with the Town of Palm Beach. Sincerely,

Lynda S. Venne
Lynda S. Venne, CPPB Purchasing Agent
Attachments: Vendor Registration Form Commodity Index (Listing)

Purchasing Division 951 Old Okeechobee Road Suite “D” West Palm Beach, Florida 33401 Telephone: (561) 838-5406 FAX: (561) 835-4688
Please mail or fax completed application to the Purchasing Division

Vendor Information
Vendor Legal Name: _____________________________________________________________ Federal Tax Identification #: ________________________________________________________ Social Security #: __ __ __ - __ __ - __ __ __ __ Subject to 1099: _____ (Y/N) 1099 Type: _______ Type of Organization: Corporation ________ Sole Proprietorship________ Partnership ________ Minority: ______ (Y/N) Minority Code : ________
1 2 3 4 5 African American Hispanic Asian America Native American Woman Owned Business
(If no Federal Tax Identification)

Name of Principal Officer(s): ______________________________________________________

Contact Name:


Address Line 1: ________________________________________________________________ Address Line 2: ________________________________________________________________ Address Line 3: ________________________________________________________________ City/State/Zip: ________________________________________________________________

Phone Number: ________________ Ext:_________ Fax Number :________________________ Fax Purchase Orders: Y / N (Circle one) E-Mail Address: _____________________________E-Mail Purchase Orders: Y / N (Circle one) Services and/or Products Offered: __________________________________________________


Typed/Printed Name and Title *Authorized to commit company
The Vendor database is maintained by the Purchasing Division as a courtesy and in no way guarantees that you will be given a notice of any or all bids, proposals, or quotes that pertain to your commodities. However, the Town places their bids on the website and advertises all bids in the Palm Beach Post. FIN 01312003-032



Abatement Services – Asbestos Abatement Services – Lead Acoustical Tile, Sales, & Installation Advertising Aggregates, Sand, Gravel & Crushed Stone Air Compressors & Accessories Air Conditioner & Heaters Air Conditioning Equipment & Accessories Air Conditioning Service & Installation Analytical Services Analytical Services – Environmental Water Testing Analytical Services – Soil Foundation Testing Animal Care Supplies Appliance Parts & Supplies Appliances – Small, Household Appliances & Household Equipment Aquatic Plant Control Services Architectural Design Services Arts & Crafts Supplies Athletic & Fitness Equipment Auction Services Audio Visual Equipment/Supplies/Maintenance Auto & Truck Bodies/Custom Auto & Truck Equipment (special – Police & Fire) Auto & Truck Parts & Accessories Auto & Truck Repair Service Auto Shop Equipment & Supplies Automobiles/Lease & Rental Automobiles/Purchase Awnings Backflow Prevention Inspections & Testing Badges, Buttons & Emblems Banking Services Batteries – Auto, Truck & Equipment Batteries – Dry Cell & Rechargeable Batteries – Golf Cart Beach Cleaning Services Bedding – Mattresses, Pillows, Blankets Brass Fittings & Accessories Bricks & Other Clay Products Cement, Portland & Masonry Chemicals – Industrial Chemicals – Laboratory Chemicals – Pesticides/Herbicides Chemicals – Wastewater & Sludge Chemicals – Water Treatment Cleaners & Sweepers Clothing & Apparel Collection Services Communications Cable/Wiring Compressors Computer Equipment * Peripherals Computer Hardware 3

Computer Software Systems & Applications Computer Supplies – All Computer Supplies – Cable Computer Supplies – Diskettes & Ribbons Concessionaire – Food & Beverage Concessionaire – Restaurant Concrete Blocks Concrete Products & Supplies Concrete, Ready Mixed Consultant Services – Architectural Consultant Services – Business Consultant Services – Computer/Network Consultant Services – Environmental Consultant Services – Financial Consultant Services – Land Development Consultant Services – Planners Consultant Services – Water Management Consultant Services – Other (please specify) Containers – Dumpsters & Rolloffs Containers – Recycling Containers – Waste Receptacles, Smokers’ Urns, Ashtrays, etc. Demolition Dirt, Fill Door Hardware/Locks Doors (all types) Drafting Supplies Dredging Services Drugs, Medical Dry Cleaning Electrical Contractor Electrical Supplies & Equipment Electronic Components & Equipment Electronic Supplies Electronics, Testing, Analyzing Equipment & Demonstrators Elevators & Elevator Maintenance Embroidered Emblems & Patches Engineering Services Engineering, Surveying & Mapping Equipment, Instruments & Supplies Engines Engines – Diesel Environmental – Air & Water Purification Environmental – Drinking Water Analysis Environmental – Lab Testing Environmental – Pest Control Environmental – Solid Waste Hauling Excavating Services Fencing – Chain Link Fencing – Wood Fertilizer Filters – Air Conditioning Filters (all kinds other than air conditioning) Financial Advising (includes CPA’s) Fire Alarm Equipment Inspection & Testing Fire Detection Equipment (including alarms) Fire Equipment Fire Extinguishers, Rechargers & Recharging Material Fire Hydrants Fire Protection Supplies Fireworks Companies 4

Flags & Banners Floodlights & Poles Floor Covering (tile, carpet, etc.) Flowmeters Forklift Sales & Service Forms (stock & continuous) Fuel Dispensing Equipment Fuel Tank Cleaning & Services Fuel Tank Sales & Installation Fuel Tank Testing Fuel, Lubricants, Oil Furniture – Chairs Furniture – Computer Furniture – Desks Furniture – Dormitory Furniture – Outdoor/Site/Park Furniture – Restaurant/Concession Furniture – Standard Office Furniture – Unfinished Gas – L.P. Propane Gasoline – Diesel Gasoline – Regular, Unleaded General Contractors General Contractors – Bridges General Contractors – Drywall & Framing General Contractors – Interior Remodeling General Contractors – Landfill General Contractors – Reservoirs/Dams General Contractors – Resurfacing General Contractors – Seawalls/Docks/Pilings General Contractors – Stucco & Plastering General Contractors – Tennis/Basketball Courts Generators – Sales/Service/Maintenance Glass & Glazing Supplies Golf Carts Golf Course – Ball Retrieval Golf Course – Fertilizer/Chemicals/Top Dressing Golf Course – Tee Renovation Golf Course Construction Golf Course Construction – Bridges Golf Course Construction – Cart Paths Golf Course Construction – Curb Edging Gold Course Construction – Greens Golf Course Construction – Lakes Gold Course Construction – Renovation Golf Course Construction – Speed Bumps Golf Course Maintenance & Lawn Equipment Golf Equipment & Supplies Grass Seed & Sod Guns & Weapons Handcuffs, Leg Irons (Police) Hardware (all kinds) Heavy Equipment Hose, Nozzles, Valves & Couplings (Fire) Hoses (except auto & fire) Hurricane Shutters & Storm Panels Hydraulic Cylinders & Valves Parts & Repairs Hydraulic Equipment Ice Machines 5

Insurance (all types) Irrigation Installation Irrigation Systems, Supplies, Parts & Accessories Janitorial Supplies Janitorial/Custodial Services K-9 Equipment for Dogs & Handlers Laboratory Analysis/Testing Services Laboratory Equipment Lamps & Lighting Landscape Architecture Landscape Installation & Maintenance Lawn Equipment (mowers, blowers, edgers, hand tools, etc.) Leasing Services Lights, Racks & Speakers for Emergency Vehicles Lumber, Plywoods, Shingles, Stakes & Sheetrock Mailroom Equipment & Supplies Manhole Products Medical Supplies Membrane Softening Systems Metal – Aluminum Metal – Stainless Metal – Steel Meter Boxes Meters Meters – Hydrant Meters – Parking Meters – Water Microfilm Equipment & Supplies Microfilm Services Motors – Electric Motors – for Water Plant Motors – Gear Motors Motors – Sales & Service Moving Services Nursery Supplies (bulbs, seeds, plants & trees) Office Machine Maintenance Office Machines, Equipment & Accessories Office Supplies (all types) Paint Spraying Equipment & Accessories Paint, Varnish, Wallpaper & Related Supplies Painting Services Paper, for Office & Print Shop use Paper, Plastic & Synthetic Products (disposable) Paving Equipment Paving Maintenance & Repair Paving products Pest Control Services Pipe Fittings & Accessories Pipe, Mallable, Galvanized & Black Pipe, Plastic, PVC Plumbing Contractor Plumbing Equipment, Fixtures & Supplies Police Equipment Polyphosphate Type Corrosion Inhibitors Portable Walls/Modular Buildings Pressure Cleaning Print Shop Equipment Printing (all types) Professional Services – Appraisal 6

Professional Services – Property Management Professional Services – Real Estate Promotion Items Pumps – Submersible Well Pumps & Accessories Radio & Telecommunication Equipment & Accessories Recreation/Playground Equipment Recycled Products Recycling Recycling – Batteries Recycling – Lamps & Ballast Recycling – Scrap Metal Road & Highway Building Material (asphaltic) Road & Highway Building Material (non-asphaltic) Road & Highway Equipment, asphalt & concrete Road & Highway Major Equipment Roof, Repair & Re-roofing Services Roofing Supplies Safety Equipment & Supplies Safety Equipment, Protective Clothing Scales & Weighing Apparatus Security & Alarm Systems & Equipment Security Guard/Detective Services Sewer – Video Equipment Sewer Cleaning Sewer Construction & Services Sign Posts & Mounts Signs Solid Waste Collection Solid Waste Products Solid Waste Vehicles Sound & Audio Equipment & Components Steel Fabricating Streetlights & Standards Surplus Sales – Bicycles Surplus Sales – Computer Equipment Surplus Sales – Golf Course Equipment Surplus Sales – Miscellaneous Surplus Sales – Office Equipment Surplus Sales – Vehicles Tape, Recording (cassette, VCR) Telecommunications – Date & Telephone Equipment Television & Video Equipment & Accessories/Supplies Temporary Help Testing Apparatus, Instruments & Machines Tire Disposal Tires, Tubes & Valve Stems Tools – Hand Tools – Power Towing Services Tractors & Earth Handling Equipment Traffic Control Equipment Trailers – Cargo Trailers – Custom Built Trailers – Flat Bed Trailers – Mobile Trailers – Utility Transportation Services Trophies, Ribbons & Awards 7

Trucks – Fire/Ambulance Trucks – Fire/Pumper Trucks – Heavy Duty (26,000 GVW & up) Trucks – Light Duty (up to 10,000 GVW) Trucks – Medium Duty (10,000-26,000 GVW) Trucks – Sanitation/Garbage Trucks – Sanitation/Recycling Trucks – Sanitation/Trash Trucks & Vans – Lease/Rental Trucks & Vans – Purchase Trucks – Other (please specify) Turnstiles & Crown Control Equipment Uniforms – Athletic Uniforms – Industrial Uniforms – Police & Fire Uniforms – Rental & Laundering Utility Construction Utility Contractors Vacuum Cleaners Vending Machines Services Wallpaper Supplies/Installation/Removal Wastewater Disposal Systems Water Coolers Water Tower Repair Water/Wastewater Treatment Welding Equipment, Supplies & Gases Welding Services Wells Wells – Injection Wells – Monitoring