CITY OF FARMINGTON
CENTRAL PURCHASING DIVISION
800 MUNICIPAL DRIVE
FARMINGTON, NEW MEXICO 87401
PHONE: 505-599-1373
VENDOR'S APPLICATION FOR REGISTRATION

1. Vendor's Name:

Vendor's Email:

2. Address to which bid requests and confirming Purchase Orders are to be mailed:

3. Address to which Payments are to be mailed:

4. Telephone Numbers:

 

   Fax Number:

5. Employer's Identification Number or Social Security Number: This connection in non-secured, if you are concerned about this, please call with this information 505-599-1373 and reference online vendor application.

6: Are you Incorporated: (yes or no)

If so, what state? (Abbreviate)

7. If you are certified by the State of New Mexico as a Resident Bidder reference your certification SPD#:

PLEASE FORWARD A COPY OF YOUR CERTIFICATE. Please reference online submission.

If you qualify as in in-state bidder but have not been Certified, please contact the State of New Mexico, Purchasing Department at 505-827-0472 for an application for resident bidder certification questionnaire. This needs to be filled out and returned to the State of New Mexico for approval.

8. Names and Titles of Officers, Members or Owners of Concern, Partnership, etc.

Name

Title:

 

9. Please forward any copies of State or GSA Contracts which you are currently participating in.

Certification: I hereby certify that all statements made in this application are true and complete to the best of my knowledge and I understand that misrepresentation of material facts will cause forfeiture of my rights to bid with the City Central Purchasing Office.

Authorizing Person

Official Title

Date

From the Commodity List Book, indicate the Commodity and Sub-Commodity for which you wish to receive Invitations to Bid. Your choices should be only those products/services you can furnish. Please make your listing in numerical order following the Commodity List Book. You may use additional submissions if necessary. Please use the following format for submitting your commodity, sub-commodity listing. List the commodity separated by a hyphen, then the sub-commodity and separate each entry with a comma.
Example: 255-255, 255-125, 310-410,

Please list commodities not found:


Just press the submit button once, you should see a confirmation at the top of the page once submitted.