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Vendor/Bid Mailing List Application
Hemet Unified School District
1791 W. Acacia Ave, Hemet, CA 92545
951.765.5100 Fax: 951.929.3683
Identify Supplies, Services, Equipment
which your company provides:
Date:
Applicant’s Name & Address:
Zip:
Phone:
Cell:
Fax:
Website:
Type of organization:
Small
Large
Minority Owned
Woman Owned
Diabled Veterans Business Enterprise
Regular Dealer
Service Establishment
Surplus Dealer
Manufacturer or Producer
Research & Development
Construction Concerns – License No & Type:
PERSONS AUTHORIZED TO SIGN BIDS, QUOTES AND CONTRACTS IN YOUR NAME
Name
Email
Phone Number
PLEASE PROVIDE ANY ADDITIONAL INFORMATION SUCH AS
CATALOGS, BROCHURES, ETC. WITH YOUR APPLICATION
Remarks:
CERTIFICATION
I certify that information supplied herein (including all pages attached) is correct and that neither the
applicant nor any person (or concern) in any connection with the applicant as a principal or officer, so
far as is known, is now debarred or otherwise declared ineligible by any government agency from
bidding for furnishing materials, supplies, or services to a government agency.
Signature
Printed Name/Title of Person authorized to sign
Revise 12/2008
Vendor/Bid Mailing List Application
Hemet Unified School District
1791 W. Acacia Ave, Hemet, CA 92545
951.765.5100 Fax: 951.929.3683
INSTRUCTIONS TO APPLICANT
1. All prices F.O.B. destination, unless otherwise specified.
2. No deviation in price or substitution in kind permitted without Purchasing Agent approval.
3. No deviation in shipping location without Purchasing Agent approval.
4. Shipping receipt must accompany your invoice. Transportation charge is to be prepaid.
Forward receipted bill for transportation charge with invoice.
5. California State or Use Tax when applicable will be considered an addition to the total.
Federal
Excise Tax must never be included in invoice. Exemption Certificate sent on
request.
6. Usual discounts will be considered as applying up to 60 days.
7. Invoice must be submitted in duplicate and must be itemized showing purchase
order number, quantity, unit price and total for each different type of supplies, material or
labor.
8. Enclosed packing list, referencing Purchase Order number, with each shipment. Items
received without referencing an approved Purchase Order number will be refused.
9. Warehouse receiving hours are 7:00 A.M. to 4:00 P.M.
10. Vendor must notify District if material cannot be shipped within 90 days.
11. M.S.D.S. REQUIRED - Material Safety Data Sheets must accompany shipments with items
of a chemical nature.
12. NO order is to be considered valid without a Purchase Order Number issued by the
Purchasing Department. The District reserves the right to NOT assume responsibility for invalid
purchases which are filled by a Vendor.
13. Any employee who will need access to a School Site must comply with the requirements of
Ed. Code 45125.1.
14. MAIL ALL INVOICES TO:
Hemet Unified School District
Attn: Accounts Payable
1791 W. Acacia Avenue, Hemet, CA 92545
Revise 12/2008