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SANTA ROSA COUNTY GOVERNMENT

Vendor Registration Application

Is this a new or revised application?

 New Application     |      Revised Application
Federal Employer Identification Number or Social Security Number by which business is conducted.

FEID: (99-9999999)

SSN:(999-99-9999)
Is your business minority owned, and or woman owned?
*

 Yes     |      No

 Florida based firm.
Contact Person:
*
Please list the contact person in charge of bidding for your company.
Title:

E-Mail:
*
Your email address must remain active or you will be removed from our vendor notification list
Phone:
*

Fax:

Date:

Company Name:
*
The name issued must be the legal name by which bids will be submitted and to which contract may be awarded.
Address:
*
Delivery address, city, state, and zip (nine digit) is the address to which invitations to bid will be mailed.

City:
*


County:
*


State:
*


Zip Code:
*

Physical Address:
(if different from mailing address)
Street Address::


City:


County:


State:


Zip:

Check all commodities and/or contractual services that you wish to receive solicitations for:

-- Receive Bid Information Only --
Advertising Services
Architectural Services - Construction
Architectural Services - Landscape
Asbestos - Assessment, Abatement, Removal & Disposal Services
Auctioneer Services
Auditing Services
Automobiles & Light Trucks
Banking & Financial Services
Boats, Marine Construction
Bonds & Investment Consulting Services
Bridge Construction
Building & General Contractor Services
Clothing, Apparel, & Uniforms
Computer Software
Computers & Supplies
Concrete Products & Supplies
Construction Consulting Services
Construction Management Services
Consultant/Lobbyist
Demolition & Abatement Services
Dredging Services
Drilling & Boring Services
Electrical Equipment & Supplies
Electrical Services
Engineering Services
Environmental, Cleanup Services, Water Sampling, & Analysis
Environmental Studies Services
Fabricated Buildings & Structures
Fencing
Fuel, Lubricants & Oil
Grass Mowing on Right-of-way
Guardrail
Hazardous Material & Waste Disposal Services
Heavy Equipment, Accessories, & Generators
Heavy Trucks & Tractors
Insurance
Insurance Consultant Services
Janitorial Services & Custodial Services
Janitorial Supplies
Land Clearing Services
Landfill Liners & Scales
Landscaping & Lawn Services
Lawn Equipment
Livestock Equipment
Mechanical Contracting Services
Office Equipment & Copiers
Office Furniture & Carpet
Office Supplies
Painting & Sandblasting
Parks, Play Ground & Recreational Equipment
Pipe-Concrete
Pipe-Corrugated Metal
Plumbing Equipment
Plumbing Services
Printing Services
Radio & Telecommunication Systems
Radio & Telecommunication Systems, Equipment & Accessories
Reconstruction, Remodeling, & Renovation
Recycling Equipment
Road Construction
Road & Highway Building Materials (Asphalt)
Roofing
Safety Equipment
Security Equipment
Security Services
Signs
Stone, Rip Rap, & Artificial Reefs
Surveying
Tanks
Traffic-Markers, Plaques, Signs & Control Devices
Trailers
Treated Lumber
Truck Equipment
Underground Utility Installation Services
Utility Consultant Services
Video Equipment & Accessories
Welding Services
Other (please indicate:)
PLEASE CAREFULLY REVIEW YOUR APPLICATION BEFORE SUBMISSION.