(Rev 10/2009)
Bidder’s List Application
Look for opportunities to bid on our web site:
www.kctcs.edu, click on VENDORS, then Opportunities to Bid and the Bidders Application. You can then, print off the form and either mail, fax or email to the email address below.
PLEASE COMPLETE THIS FORM AND RETURN TO:
KCTCS Purchasing Dept
300 North Main Street
Versailles KY 40383
FAX (859) 256-3124
Email:
NOTE: To be placed on the Bid List for bidding opportunities you must complete all pages.
A. Small Business concern is defined by federal law (generally has fewer than 500 employees to include affiliates, and is independently owned and operated and is not dominated in its field of operation).
A. 50 or less C. 101-250 E. 501-750 G. Over 1,000
B. 51-100 D. 251-500 F. 751-1,000
B. Women-Owned small business concern is at least 51% owned by one or more women; or if publicly owned, at least 51% of the stock is owned by such individuals AND is management and daily operations are controlled by them as well.
C. Small disadvantaged/minority business concern is at least 51% owned, managed and operated on a daily basis by one or more socially and economically disadvantaged or minority individuals. Non-minority women should not check this. Recognized disadvantaged/minority classification include: Check appropriate boxes.
Not Applicable
Physically Veterans African Native Hispanic Asian
Disabled American American American American
Other
Complete this section for your “ORDER FROM” address.
This form is ‘fill in’ enabled (tab between fields). You can fill in the blanks then print and mail/fax or save the file for email purposes.
Vendor Name
Contact Name
Address Line 1
Address Line 2
Address Line 3
Address Line 4
City
State/Province
Zip Code Postal Code Country
Telephone Extension Toll Free Number Extension
FAX Number
Email Address
WEB Site URL:
Federal Tax ID#
Complete this section for your payment “REMIT TO” address ONLY if different from your “ORDER FROM” address.
Vendor Name
Contact Name
Address Line 1
Address Line 2
Address Line 3
Address Line 4
City
State/Province
Zip Code Postal Code Country
Telephone Extension Toll Free Number Extension
FAX Number
Page 5 of 5
Page 5 of 5
ACCEPT MASTERCARD/VISA CARD FOR PURCHASES? YES NO
Page 5 of 5
MASTER COMMODITY LIST
In order to be placed on the correct commodity list, check the blank check box provided for the Commodity(s) or Service(s), which your firm can provide.
Page 5 of 5
CK GROUP TITLE
Animals
Animal Bedding
Audiovisual Equipment & Supplies
Automobiles, Buses & Trucks
Automotive Parts, Supplies & Related
Automotive Bodies & Trailers
Biological Research
Building Furnishings – Domestic
Building Furnishings – Institutional
Chain, Rope, Cord
Chemicals
Clothing, Textiles, Leather & Emblems
CONSTRUCTION & BUILDING MAINT.
Construction Material & Supplies Earth
Moving Equipment
Elevators, Escalators & Conveyors
Fence Materials
Hardware, General
Heating & Air Conditioning Equipment & Supplies
Ladders & Scaffolding
Locks
Maintenance Equipment
Metal Products
Paints & Coatings, Supplies
Plumbing Equipment & Supplies
Refrigeration Equipment & Supplies
Ventilating Equipment & Supplies
Warehouse Equipment & Supplies
DATA PROCESSING EQUIP & SUPPLIES
Mainframe
Memory
PC’s – Dos
PC’s – Laptop
PC’s – MAC
PC’s – Micro Channel
PC’s – Notebook
PC’s – Unix
Peripherals
Software
– Supplies
Dairy Equipment & Supplies
DENTAL
Equipment – furniture
Equipment – patient care
Instruments
– Supplies
CK GROUP TITLE
EDUCATIONAL
Books & Publications
Educational Equipment & Supplies
Hobby & Occupational Therapy Items
Musical
ELECTRICAL
Building Construction & Maintenance
Communications
Electronics
Power Supplies
Surveillance
Other
ENGINEERING & SURVEYING
FIRE FIGHTING, LAW ENFORCEMENT & SAFETY
Fire Fighting Equip & Supplies (other than vehicles)
Law Enforcement Equipment & Supplies
Safety Equipment
FOODS
Foods, for Human consumption
Feed for Animals
GASES, GASOLINE & PETROLEUM
Asphalt, liquid
Coal
Gases, industrial & medical (acetylene, oxygen, etc)
Gasoline, diesel, kerosene, solvents, lube oils, grease, etc.
Natural gas
Propane
HORTICULTURAL
Equipment
– Supplies
HOSPITAL
Equipment
– Supplies
JANITORIAL & LAUNDRY
Janitorial Equipment
Laundry Equipment
Janitorial & Laundry Supplies
LABORATORY & SCIENTIFIC
MARINE & COMMERCIAL FISHING
CK GROUP TITLE
MEDICAL EQUIPMENT
Anesthesia
Material Handling
Medical Training Aids
Monitoring
Patient Care
Physical Therapy
Radiographic
Respiratory
Ultrasound
Veterinary
MEDICAL SUPPLIES
Anesthesia
Catheters
Custom Pack/Kits
Dressings
Gloves
Implants – Orthopedic
Implants – Tissue
Instruments – Hand held
Instruments – Optic
IV Solutions & Sets
Monitoring
Ostomy
Personal Protective Devices
Radiation Medicine
Respiratory
Special Diagnostics/Cath Lab
Urologicals
Veterinary
OFFICE EQUIPMENT & SUPPLIES
Furniture
Machines
Supplies
OPTICAL & PHOTOGRAPHIC
PAPER & PLASTICS
Paper
Paper Products (other than printed forms)
Plastics
PHARMACEUTICALS
PRINTING & BINDING
RENTALS (see TRANSPORTATIOIN for charters)
ROBOTIC EQUIPMENT
CK GROUP TITLE
SERVICES
Armored Car Services
Carpet Installation
Catering Services
COM Microfilming Service
Concession Services
Construction
Graphic Arts & Reproductions
Maintenance
Newspaper Clippings – Originals and/or Photocopies
Nuclear & Chemical Waste Disposal
Repair
Software Programming & Consulting
Source Document Microfilming
Utilities
Vending Services
Water Treatment Services
Other
SHOP SUPPLIES
SIGNS & DECALS
SPORTING EQUIPMENT
Athletic & Sports
Ammunition, Reloading & Weapons
Park & Playground
SUNDRIES
TANKS, STORAGE
TOOLS
Automotive
Construction Trades
General Purpose
Power Actuated
TRANSPORTATION
WEIGHING EQUIPMENT
OTHER SERVICES: (not listed above)
Page 5 of 5
RADIOISOTOPES
SELECT THE AREA(s) OF THE STATE YOUR FIRM IS WILLING TO WORK. CHECK ALL THAT APPLY.
STATEWIDE / FAYETTE COUNTYCENTRAL KY (between I-65 & I-75) / METRO JEFFERSON C. (Louisville & E-town)
EASTERN KY (I-75 east) / WESTERN KY (I-65 west)
IF YOU ARE A CONSTRUCTION CONTRACTOR, COMPLETE THE FOLLOWING SECTIONS OF THIS FORM:
Designate the most appropriate contractor classification for your firm. Check only ONE box.
A/E / GENERALASBESTOS/HAZARDOUS / GLASS (DIV 8)
CARPENTRY / MASONRY
CONCRETE / MECHANICAL
CONSTRUCTION MANAGER / METALS
DRYWALL / PAINTING
ELECTRICAL / ROOFING (DIV 7)
ELEVATORS / SITE WORK
EQUIPMENT / SPECIALTIES (DIV 10-13)
FINISHES (DIV 9) / SPRINKLER
FURNISHINGS / OTHER
Page 5 of 5
Page 5 of 5