TENNESSEE
BOARD OF REGENTS Higher
Education System Vendor
Application Form General
Instructions
1. Company Name and Bid Address.
Enter your company's name and the mailing address to where bids are to
be mailed.
2. Address to which payments are to be mailed. Enter your company's
mailing address where payments are to be mailed. If same as the bid address, leave blank.
3.
Telephone (toll free). Enter your company's toll-free telephone
number. Enter numbers without spaces or
parentheses.
4.
Telephone (other). Enter your company's other (toll) telephone
number. Enter numbers without spaces or
parentheses.
5.
Fax. Enter your company's fax number. Enter numbers without spaces or parentheses.
6.
Name of Contact Person. Enter the name of the person who will serve
as the company's contact person for bid purposes.
7.
Email Address of Contact Person. Enter the email
address of the person listed in #6.
8.
Company URL. Enter your company's web address (URL).
9.
Federal Identification Number (FEIN): Enter your company's federal identification number
(FEIN). Enter numbers without spaces.
10.
Social Security Number. If applicant is an individual or if your
company does not have an FEIN, enter your social security number. Enter numbers without spaces.
11.
Type of Organization. Choose and select one of the listed types of organizations that best describes
your company.
12.
Kind of Ownership.
Choose and select all of the
listed kinds of ownership that apply to your company. (Click here for Woman
Owned and Minority Business Clarifications.)
13.
Minority Ethnicity Code.
For classification purposes to satisfy purchasing and reporting requirements of
the State of
14.
Annual Gross Sales. For classification purposes to satisfy purchasing and
reporting requirements of the State of
15.
Type of Business.
For classification purposes to satisfy purchasing and reporting requirements of
the State of
16. Number of
Employees. For classification purposes to satisfy purchasing and
reporting requirements of the State of
17. Excluded from
Federal Procurement or Non-procurement Programs. Are you or any of the
principals of your company presently debarred, suspended, proposed for
debarment, declared ineligible or voluntarily excluded by any federal
department agency from participation in bid processes? Click yes or no.
18.
Preference for Reporting Purposes. If
your company qualifies in multiple categories as small, woman owned and/or
minority, please specify in which category that you desire for your company to
be considered for reporting and classification purposes. (Click here for Small, Woman Owned and
Minority Business Ownership Clarifications.)
19.
Comments. List any additional information that you may
wish to add to the application.
20.
Commodities. As part of the vendor application process,
please specify the commodities (goods and/or services) that are available for
purchase from your company. Click here
for commodity list.
21.
Certification. Sign form and provide information as
requested.
Small Business
Ownership Clarification:
"Small
business" means a business that is independently owned and operated for
profit, is not dominant in its field of operation and is not an affiliate or
subsidiary of a business dominant in its field of operation.
The
Governor's Office of Diversity Business Enterprise establishes small business
guidelines on industry size standards.
The criteria guidelines are required to be met in order for a business
to be considered small. The annual
receipts or number of employees indicates the maximum allowed for a small
business concern and its affiliates to be considered small.
|
TYPE OF
BUSINESS |
ANNUAL GROSS
SALES |
NO. OF
EMPLOYEES |
|
Agriculture,
Forestry, Fishing |
$500,000 |
9 |
|
Architectural
/ Design / Engineering |
$2,000,000 |
30 |
|
Construction |
$2,000,000 |
30 |
|
Educational |
$1,000,000 |
9 |
|
Finance,
Insurance & Real Estate |
$1,000,000 |
9 |
|
Information
Systems / Technology |
$2,000,000 |
30 |
|
Manufacturing |
$2,000,000 |
99 |
|
Marketing
/ Communications / Public Relations |
$2,000,000 |
30 |
|
Medical
/ Healthcare |
$2,000,000 |
30 |
|
Mining |
$1,000,000 |
49 |
|
Retail
Trade |
$750,000 |
9 |
|
Service
Industry |
$500,000 |
9 |
|
Transportation,
Commerce & Utilities |
$1,000,000 |
9 |
|
Wholesale
Trade |
$1,000,000 |
19 |
Minority
Ownership Clarification:
"Minority
owned business" means a business that is a continuing, independent, for
profit business which performs a commercially useful function, and is at least
fifty-one percent (51%) owned and controlled by one (1) or more minority
individuals who are impeded from normal entry into the economic mainstream
because of past practices of discrimination based on race or ethnic
background.
"Minority"
means a person who is a citizen or lawful permanent resident of the
a) African American (a person having origins in
any of the black racial groups of
b) Hispanic (a person
of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish
culture or origin, regardless of race);
c) Asian American (a
person having origins in any of the original peoples of the Far East, Southeast
Asia, the Indian subcontinent, or the Pacific Islands); or
d) Native American (a
person having origins in any of the original peoples of
Woman Owned
Business Clarification:
"Woman
owned business" means a woman owned business that is a continuing,
independent, for profit business which performs a commercially useful function,
and is at least fifty-one percent (51%) owned and controlled by one or more
women; or, in the case of any publicly owned business, at least fifty-one
percent (51%) of the stock of which is owned and controlled by one (1) or more
women and whose management and daily business operations are under the control
of one (1) or more women.