General Instructions: Please complete all applicable fields on this application. All fields should be completed. Fields marked in blue are optional. Submissions that are not complete will not be entered into the Bidder's List. Once you have completed the form, please follow the instructions to submit the online application.

Vendor Business Information:
Name of Business: The name of the company that will fulfill any contract.

Federal Tax No. (EIN): This is a mandatory entry. Companies must have an EIN in order to do business with the DC Government.  Individual entities may use their Social Security Number.

DUNS No.: This is a mandatory field.  However, you do not have a DUNS number, please call Dun & Bradstreet at 1-800-234-3867 for information of how to obtain one.  DUNS numbers are provided free of charge.  If your company is a new start-up business please check the box marked 'New Business'.  However, a DUNS number will be required prior to the award and execution of a contract.

Telephone & Fax No.:  You must include the area code.  The fax number is encouraged, but is optional.

Web Address:  Please insert your company web site address here.  This field is optional and may be left blank.

LSDBE Certification No.: The Local, Small, Disadvantaged Business Enterprise (LSDBE) Certification Number. This is a mandatory field if you are LSDBE certified. For more information on the certification process, please visit the Office of Local Business Development website - www.olbd.dc.gov.

Is your business based in DC?:  This refers to your corporate headquarters, if any.  If you are based outside of Washington DC, but have offices/franchises inside DC, mark NO.  If you are based in Washington DC, mark YES and check which Ward applies (pick one).

Wards:  If you marked "Yes" to the preceding question, fill in the box next to the ward in which your business is based.  Entries that are marked "Yes" but do not include a ward will be discarded.

Vendor Contact Information:
Billing, Sales & Marketing, and Chief Principal: These three areas are for the various contacts in your company, according to position.  All three contacts must be filled in.  Fax numbers and e-mail addresses are not mandatory, but they are highly encouraged.

Bidding Address:  This is the address to which we will send solicitations.  Please include all information necessary to insure proper delivery (addressee, street, city, state, zip code).

Vendor Services Information:
Vendor Demographic: Please fill in your LSDBE Certification number (if your company has one) and check the boxes of each category that your company qualifies for.  If you require LSDBE certification, please call 202-727-3900.

Commodities:  Please fill in which area of services you will be providing.  You must select at least one.  If appropriate, please mark the "other" box and include a brief description.

Are you capable of accepting a credit card (i.e., Visa):  The Government of the District of Columbia uses a purchase (credit) card for small purchases up to $2,500.00 per transaction.

DCSS: The DC Supply Service Schedule is the city's multiple award schedule procurement program for providing commercial products and services to District government agencies. If you have an interest in the DC Supply Schedule, please visit the DC Supply Schedule site here.

HCA: The Procurement Practices Human Care Agreement Amendment Act of 2000 (D.C. Law 13-155) authorizes the District of Columbia Chief Procurement Officer, or his or her designee; to award human care agreements for the procurement of social, health, human, and education services directly to individuals in the District. If you have an interest in HCA, please visit Business Oppportunities here.

IPT: The Integrated Product Team (IPT) of the Office of Contracting and Procurement provides citywide capital construction, facility operations, energy management, and other property managerment services for the Office of Property Management. If you have an interest in IPT, please visit Business Oppportunities here.

NIGP Numbers:  Attached to this form, you will find a list of NIGP codes and the services they represent.  Please read the document and determined which number(s) represent.  Please read the document and determine which number(s) represent the services you wish to sell to the DC Government.  Write the three-digit NIGP Code(s) in the indicated box on the form.  If you do not find a match for service(s) you provide, please list type of good or services that can be provided by your company.