Jefferson County Purchasing Department

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					Jefferson County Purchasing Department 1149 Pearl Street – First Floor Beaumont, Texas 77701 Phone: 409-835-8593 Fax: 409-835-8456

1. This is a Microsoft Word Form. Complete it by tabbing to each field and entering the data requested. To skip a field, press “tab” again. To check a box, tab to that field (or point and click) and press “space.” You may e-mail the form to Glenda Jones at You may also print the form, fill it out, and mail or fax it to: Jefferson County Purchasing Department, 1149 Pearl Street, Beaumont, TX 77701, Fax: 409-835-8456. Double check to be sure you have provided all information requested. Select commodities your company regularly provides. Do not check commodities indiscriminately. A listing in the Jefferson County Purchasing Bidder’s List Database means that we will make a reasonable effort to notify you of bid opportunities for the commodities you have checked. Jefferson County Purchasing makes every effort to mail out bids in a timely manner; however, we cannot be responsible for delays that occur after the bids leave this office. Note that the vendor is responsible for remaining informed of bids and amendments. The Jefferson County Purchasing Web Page ( is updated on Tuesdays; advertisements for bid also appear in the Beaumont Enterprise and Port Arthur News, usually on Wednesdays. If your firm serves as a clearinghouse providing bid information to other firms, use of this database is not the best way to effectively do so. By the time you receive bid information in the mail, time remaining to re-direct the information will be minimal. We suggest you monitor the web page to best inform your clients of relevant bids. This form enters your information into the Bidders’ List Database; to be entered into Jefferson County’s payment system, you must provide the Auditor’s Office with a completed and signed W-9 form.

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Rev 06-19-06


1. Company Name and Mailing Address for Bidding Forms and Purchase Orders 2. Mailing Address for Payment (if different from Item #1)

New Application Federal ID No.

Name/Address Change Social Security No.

Add Commodities

Delete Commodities

Date of Application

3. Type of Organization (Check one): Non-Profit Organization

Minority-Owned Partnership

Woman-Owned Individual

Corporation, Incorporated Under Laws of the State of: ____

4. How long have you been in your present business? 5. Subject to 1099 reporting? Yes No Yes No If No, state reason:

6. Do you provide health care services?

7. Persons Authorized to Sign Bids, Offers, and Contracts (Indicate if Agent): Name Official Capacity Phone No. (with Area Code) Fax No. (with Area Code)

8. Persons to Contact on Bids or Quotes: Name Official Capacity Phone No. (with Area Code) Fax No. (with Area Code)

9. Type of Business (Check one): Factory Representative HUB Vendor – Number:

Manufacturer Wholesale Dealer

Certified Catalog Vendor – From: Retail Dealer Other (define):


I hereby certify that the information supplied herein is correct:

Print or Type Name and Title Date:

Signature For Purchasing Department Use Only Vendor No:


Jefferson County Bidder’s List Application

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Code 005 010 015 019 020 022 025 031 035 040 045 050 052 055 060 065 070 075 080 085 090 095 100 105 110 115 120 125 135 140 145 150 155 Description Abrasives Acoustical Tile, Insulating Material and Supplies Addressing, Copying, Mimeograph, Spirit Duplicating Machine Supplies, Chemicals, Inks, Paper, etc. Agricultural Crops and Grains Including Fruits, Melons, Nuts and Vegetables Agricultural Equipment, Implements, and Accessories (see Class 022 for parts) Agricultural Implement and Accessory Parts Air Compressors and Accessories Air Conditioning, Heating & Ventilating Equipment, Parts & Access. (see related items in Class 740) Aircraft and Airport Equipment, Parts, and Supplies Animals, Birds, Marine Life, and Poultry, including Accessory Items (Live) Appliances and Equipment, Household Type Art Equipment and Supplies Art Objects Automotive Accessories for Automobiles, Buses, Trucks, etc. Automotive Maintenance Items and Repair/Replacement Parts Automotive Bodies, Accessories, and Parts Automotive Vehicles and Related Transportation Equipment Automotive Shop Equipment and Supplies Badges, Emblems, Name Tags and Plates, Jewelry, etc. Bags, Bagging, Ties, and Erosion Control Equipment Bakery Equipment, Commercial Barber and Beauty Shop Equipment and Supplies Barrels, Drums, Kegs and Containers Bearings (except wheel bearings and seals – see Class 060) Belts and Belting: Conveyor, Elevator, Power Transmission, and V-Belts Biochemical Research Boats, Motors and Marine and Wildlife Supplies Bookbinding Supplies Bricks and Other Clay Products, Refractory Materials and Stone Products Broom, Brush, Mop Manufacturing Machine Brushes (not otherwise classified) Builder’s Supplies Buildings and structures: Fabricated and Pre-Fabricated
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Jefferson County Bidder’s List Application

Code 160 165 175 180 190 192 193 195 200 204 206 207 208 209 210 220 225 232 233 240 245 250 255 260 265 269 271 280 285 287 290 295 305

Description Butcher Shop and Meat Processing Equipment Cafeteria and Kitchen Equipment, Commercial Chemical Laboratory Equipment and Supplies Chemical Raw Materials (in large quantities primarily for manufacturing janitorial and laundry products) Chemical and Solvents, Commercial (in bulk) Cleaning Compositions, Detergents, Solvents, and Strippers – Prepackaged Clinical Laboratory Reagents and Tests (Blood Grouping, Diagnostic, Drug Monitoring, etc.) Clocks, Timers, Watches, and Jeweler’s and Watchmaker’s Tools and Equipment Clothing Apparel, Uniforms, and Accessories Computer Hardware and Peripherals for Microcomputers Computer Hardware and Peripherals for Mini and Mainframe Computers (Pre-programmed) Computer Accessories and Supplies Computer Software for Microcomputers (Pre-programmed) Computer Software for Mini and Mainframe Computers (Pre-programmed) Concrete and Metal Culverts, Pilings, Septic Tanks, Accessories and Supplies Controlling, Indicating, Measuring, Monitoring, and Recording Instruments Cooler, Drinking Water (Water Fountains) Crafts, General Crafts, Specialized Cutlery, Dishes, Flatware, Glassware, Trays, Utensils, and Supplies Dairy Equipment and Supplies Data Processing Cards and Paper Decals and Stamps Dental Equipment and Supplies Drapes, Curtains, and Upholstery Material (Including Automotive) Drugs and Pharmaceuticals Drugs, Pharmaceuticals & Sets (for large volume parental admin., infusion, irrigation & tube feeding) Electrical Cables and Wires (not electronic) Electrical Equipment and Supplies (except cable and wire) Electronic Components, Replacement Parts, and Accessories and Miscellaneous Electronic Equipment (not for testing or analyzing – see 730) Energy Collecting Equipment and Accessories; Solar and Wind Elevators and Escalators, Building Type Engineering Equipment, Surveying Equipment, Drawing Instruments and Supplies

Jefferson County Bidder’s List Application

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Code 310 315 318 320 325 330 335 340 345 350 360 365 370 375 380 385 390 393 395 400 405 410 415 420 425 430 435 440 445 450 460 465 470 475

Description Envelopes, Plain, Printed Epoxy Based Formulations for Adhesives, Coatings, and Related Agents Fare Collection Equipment and Supplies Fastening, Packaging, Strapping, Typing Equipment and Supplies Feed, Bedding, Vitamins & Supplements for Animals (see 875 for drugs/pharmaceuticals for animals) Fencing Fertilizers and Soil Conditioners Fire Protection Equipment and Supplies First Aid and Safety Equipment and Supplies (except nuclear and welding) Flags, Flag Poles, Banners, and Accessories Floor Covering, Floor Covering Installation and Removal Equipment and Supplies Floor Maintenance Machine, Parts and Accessories Food Processing and Canning Equipment and Supplies Foods: Bakery Products, Fresh Foods: Dairy Products Foods: Frozen, Prepared Foods: Perishable Foods: Staple Grocery and Grocer’s Miscellaneous Items Forms, Continuous: Computer Paper, Form Labels, Snap-Out Forms, and Folders for Forms Foundry Castings, Equipment and Supplies Fuel, Oil, Grease and Lubricants Furniture: Health Care and Hospital Facility Furniture: Laboratory Furniture: Cafeteria, Chapel, Dormitory, Household, Library, Lounge, School Furniture: Office Gases, Containers, Equipment: Laboratory, Medical and Welding Germicides, Cleaners, and Related Sanitation Products for Health Care Personnel Glass and Glazing Supplies Hand Tools (powered and non-powered), Accessories and Supplies Hardware and Related Items Hoses, Accessories and Supplies: Industrial, Commercial, and Garden Hospital and Surgical Equipment, Instruments, and Supplies Hospital and Handicap Equipment and Supplies: Mobility, Speech Impaired, and Restraint Items Hospital, Surgical and Related Medical Accessories and Sundry Items
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Jefferson County Bidder’s List Application

Code 485 490 493 495 500 505 510 515 520 525 530 540 545 550 555 556 557 558 559 560 565 570 575 580 590 595 600 605 610 615 620 625 630 635

Description Janitorial Supplies, General Line Laboratory Equipment & Accessories (for general analytical and research use): Nuclear, Optical, Physical Laboratory and Field Equipment and Supplies: Biochemistry, Chemistry, Environmental Science, etc. Laboratory and Field Equipment and Supplies: Biology, Botany, Geology, Microbiology, Zoology, etc. Laundry and Dry Cleaning Equipment, Accessories, Parts and Supplies – Commercial Laundry and Dry Cleaning Compounds and Supplies Laundry Textiles and Supplies Lawn Maintenance Equipment, Accessories, and Parts (non-agricultural applications) Leather and Related Equipment, Products, Accessories and Supplies Library and Archival Equipment, Machines and Supplies Luggage, Brief Cases, Purses and Related Items Lumber and Related Products Machinery and Hardware, Industrial Markers, Plaques and Traffic Control Devices Marking and Stenciling Devices Mass Transportation – Transit Bus Mass Transportation – Transit Bus Accessories and Parts Mass Transportation – Rail Vehicles and Systems Mass Transportation – Rail Vehicle Parts and Accessories Materials Handling and Storage Equipment and Allied Items Mattress Manufacturing Machinery and Supplies Metals: Bars, Plates, Rods, Sheets, Strips, Structural Shapes, Tubing and Fabricated Items Microfiche and Microfilm Equipment, Accessories and Supplies Musical Instruments, Accessories and Supplies Notions and Related Sewing Accessories and Supplies Nursery Stock, Equipment and Supplies Office Machines, Equipment and Accessories Office Mechanical Aids, Small Machines, and Apparatuses Office Supplies: Carbon Paper and Ribbons, All Types Office Supplies: General Office Supplies: Erasers, Inks, Leads, Pens, Pencils, etc. Optical Equipment. Accessories and Supplies Paints, Protective Coatings, Varnish, Wallpaper and Related Products Painting Equipment and Accessories
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Jefferson County Bidder’s List Application

Code 640 645 650 655 658 659 660 665 670 675 680 685 690 691 700 710 715 720 725 730 735 740 745 750 755 760 765 775 780 785 790 800 801 803

Description Paper and Plastic Products, Disposable Paper (Office, Print Shop) Park, Playground, Recreational Area and Swimming Pool Equipment Photographic Equipment & Supplies (not including graphic arts, microfilm and x-ray) Pipe and Tubing Pipe and Tubing Fittings Pipes, Tobaccos, Smoking Accessories, Alcoholic Beverages Plastics, Resins, Fiberglass: Construction, Forming, Laminating, & Molding Equipment, Access./Supplies Plumbing Equipment, Fixtures, and Supplies Poisons: Agricultural and Industrial Police Equipment and Supplies Poultry Equipment and Supplies Power Generation Equipment, Accessories and Supplies Power Transmission Equipment – Electrical, Mechanical, Air and Hydraulic Printing Plant Equipment and Supplies (except paper) Prosthetic Devices, Hearing Aids, Auditory Testing Equipment, Electronic Reading Devices, etc. Publications and Audiovisual Materials (prepared materials only, not equipment, supplies or production) Pumping Equipment and Accessories Radio Communication, and Telecommunications Equipment, Accessories and Supplies Radio Communication, Telecommunication Testing/Measuring/Analyzing Equipment, Access. & Supplies Rags, Shop Towels, and Wiping Cloths Refrigeration Equipment and Accessories Road and Highway Building Materials (asphaltic) Road and Highway Building Materials (non-asphaltic) Road and Highway Equipment and Parts: Asphalt and Concrete Handling and Processing Road and Highway Equipment: Earth Handling, Grading, Moving, Packing, etc. Road and Highway Equipment (except asphalt, concrete and earth handling equipment in 765 and 760) Salt (Sodium Chloride) (see 393 for Table Salt) Scales and Weighing Apparatus (see 175 for laboratory balances) School Equipment and Supplies Seed, Sod, Soil and Inoculants Shoes and Boots Signs, Sign Materials, Sign Marking Equipment, and Related Supplies Sound Systems, Components & Accessories: Group Intercom, Music, Public Address, etc.
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Jefferson County Bidder’s List Application

Code 805 810 815 820 825 830 832 840 845 850 855 860 863 864 865 870 875 880 885 890 895 898 905 906 907 908 909 910 912 913 914 915 918

Description Sporting Goods, Athletic Equipment and Athletic Facility Equipment Spraying Equipment (except household, nursery plant, and paint) Steam and Hot Water Fittings, Accessories and Supplies Steam and Hot Water Boilers and Steam Heating Equipment Stockman Equipment and Supplies Tanks (metal, wood, and synthetic materials): Mobile, Portable, Stationary and Underground Types Tape (not data processing, measuring, optical, sewing, sound or video) Television Equipment and Accessories Testing Apparatus and Instruments (not for electrical or electronic measurements) Textile, Fibers, Household Linens and Piece Goods Theatrical Equipment and Supplies Tickets, Coupon Books, Sales Books, Strip Books, etc. Tires and Tubes Train Controls, Electronic Twine Venetian Blinds, Awnings, and Shades Veterinary Equipment and Supplies (see 325 for vitamins and supplements for animals) Visual Education Equipment and Supplies (except projection lamps – see 285) Water and Wastewater Treating Chemicals Water Supply, Groundwater and Sewage Treatment Equipment (not for air conditioning, steam boiler or laboratory regeant water) Welding Equipment and Supplies X-ray and Other Radiological Equipment and Supplies (medical) Aircraft Operations Service Architectural Services, Professional Architectural and Engineering Services, Non-Professional Bookbinding, Rebinding and Repairing Building Construction Services, new Building Maintenance and Repair Services (including Pest Control Services) Construction Services, General Construction Services, Heavy Construction Services, Trade (new construction) Communications and Media Related Services Consulting Services

Jefferson County Bidder’s List Application

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Code 920 924 925 928 929 931 934 936 938 939 940 941 945 946 947 948 952 953 956 959 964 965 966 968 971 975 977 979 981

Description Data Processing Services and Software Educational Services Engineering Services, Professional Equipment Maintenance, Reconditioning, Repair Services – Automobiles, Trucks, Trailers, Transit Buses and Other Vehicles Equipment Maintenance, Reconditioning, Repair Services – Agricultural, Heavy Industrial Equipment and Marine Equipment Equipment Maintenance, Reconditioning, Repair Services – Appliance, Athletic, Cafeteria, Furniture, Musical Instruments, and Sewing Equipment Equipment Maintenance, Reconditioning, Repair Services – Laundry, Lawn, Painting, Plumbing, and Spraying Equipment Equipment Maintenance, Reconditioning and Repair Services – General Equipment Equipment Maintenance, Reconditioning, Repair Services – Hospital, Laboratory, and Testing Equipment Equipment Maintenance, Reconditioning, Repair Services – Office, Photographic, and Radio/Television Equipment Equipment Maintenance, Repair, Construction, and Related Services – Railroad Equipment Maintenance, Repair, Construction, and Related Services – Power Generation Fishing, Hunting, Trapping, Game Propagation, and Related Services Financial Services Forestry Services Health Related Services (for human services see 952) Human Services Insurance, All Types Library Services (see 908 for bookbinding, rebinding, and repairing) Marine Construction Services: Marine Equipment Maintenance and Repair; Related Marine Services Personnel, Temporary (employment agency services) Printing Preparations: Etching, Photoengraving, and Preparation of Mats, Negatives, and Plates Printing and Related Services Public Works and Related Services Real Property Rental or Lease Rental or Lease Services of Equipment – Agricultural, Aircraft, Automotive, Heavy Equipment, and Marine Equipment Rental or Lease Services of Equipment – Appliances, Cafeteria, Film, Furniture, Hardware, Musical, Sewing, and Window and Floor Coverings Rental or Lease Services of Equipment – Engineering, Hospital, Laboratory, Precision Instruments, Refrigeration, Scales, and Testing Equipment Rental or Lease Services of Equipment – General Equipment
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Jefferson County Bidder’s List Application

Code 983 985 988 990 992 998

Description Rental or Lease Services of Equipment – Clothing, Janitorial, Laundry, Lawn, Painting, Spraying, and Textile Equipment Rental or Lease Services of Equipment – Office, Photographic, Printing, Radio/Television/Telephone Equipment Roadside, Grounds, Recreational and Park Area Services Security, Fire, Safety and Emergency Services Testing and Calibration Services Sale of Surplus and Obsolete Items Other – Specify:

Jefferson County Bidder’s List Application

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