Bid Information Service (BIS) Subscription Form
(See Section G for submitting off-line subscription form)

Section A

Vendor Profile (VP)

1. Type of Firm:

   Individual

   Corporation

   Partnership

   Other

   
   
   
   

2. Is your company primarily a:		Distributor/Reseller		Manufacturer		Construction Contractor or Subcontractor
   		Professional Service Provider (includes Consultants)				Other

   
   
   
   

3. Company Name Mailing Address

   City State/Province ALABAMA ALASKA ALBERTA AMERICAN SAMOA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FEDERATED STATES OF MICRONESIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARSHALL ISLANDS MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA NORTHERN MARIANA ISLANDS OHIO OKLAHOMA OREGON PALAU PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING BRITISH COLUMBIA MANITOBA NEW BRUNSWICK NEWFOUNDLAND NORTHWEST TERRITORIES NOVA SCOTIA ONTARIO PRINCE EDWARD ISLAND QUEBEC SASCKATCHEWAN YUKON ZIP

   Fed Tax ID #/SSN           OR MN State Tax ID (One ID Required) Social Security number - The University acknowledges that this information is private. the Social Security Number is necessary for the University to comply with Federal Tax reporting requirements. Failure to supply either your valid Federal Tax ID OR your valid Social Security Number may restrict your ability to do business at the University and you may incur a penalty. Tax Identification Number (TIN) - Under penalties of perjury, (see Section 6109 of the IRS Code for further penalties) I, the contractor certify that: The number shown on this form is my correct taxpayer identification number (TIN) and, I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) and I am subject to backup withholdings as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding.

4. (Please check all that apply)
   

   Large Business	Small Business	51% Minority Owned
   51% Woman Owned	51% Disabled Owned

   For Minnesota Owned Companies Only:

   Economically Disadvantaged Business Targeted Group Business

Section B

Identify Official Contact and Select Categories

1) Complete information for each contact.

2) Choose up to 5 category codes per company subscription. (Click on KEY to view list of all categories and descriptions.)

3) For each individual contact person noted, checkmark the appropriate box or boxes under Category Codes. This identifies the subset of categories available to the individual contact person within the company's categories. Categories may be duplicated across the company's individual contact names.

	CATEGORY CODES
	10 11 12 13 20 21 22 23 30 40 60 61 70 71 72 80 85 90 100 101 102 103 110 120 129 130 131 132 210 215 220 222 223 224 225 226 230 240 241 242 250 260 270 280 290 301 302 303 304 305 323 324 325 326 327 328 329 330 331 332 350 351 352 353 354 355 410 411 420 430 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 550 551 552 553 554 560 561 562 563 570 571 572 573 574 580 590 710 720 721 722 723 730 740 741 750 751 760 761 770 810 820 830 840 850 851 852 870 871 880 910 920 921 930 940 941 950 951 960 961 962 970 980 1000 1010 1025 99999 Key	10 11 12 13 20 21 22 23 30 40 60 61 70 71 72 80 85 90 100 101 102 103 110 120 129 130 131 132 210 215 220 222 223 224 225 226 230 240 241 242 250 260 270 280 290 301 302 303 304 305 323 324 325 326 327 328 329 330 331 332 350 351 352 353 354 355 410 411 420 430 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 550 551 552 553 554 560 561 562 563 570 571 572 573 574 580 590 710 720 721 722 723 730 740 741 750 751 760 761 770 810 820 830 840 850 851 852 870 871 880 910 920 921 930 940 941 950 951 960 961 962 970 980 1000 1010 1025 99999 Key	10 11 12 13 20 21 22 23 30 40 60 61 70 71 72 80 85 90 100 101 102 103 110 120 129 130 131 132 210 215 220 222 223 224 225 226 230 240 241 242 250 260 270 280 290 301 302 303 304 305 323 324 325 326 327 328 329 330 331 332 350 351 352 353 354 355 410 411 420 430 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 550 551 552 553 554 560 561 562 563 570 571 572 573 574 580 590 710 720 721 722 723 730 740 741 750 751 760 761 770 810 820 830 840 850 851 852 870 871 880 910 920 921 930 940 941 950 951 960 961 962 970 980 1000 1010 1025 99999 Key	10 11 12 13 20 21 22 23 30 40 60 61 70 71 72 80 85 90 100 101 102 103 110 120 129 130 131 132 210 215 220 222 223 224 225 226 230 240 241 242 250 260 270 280 290 301 302 303 304 305 323 324 325 326 327 328 329 330 331 332 350 351 352 353 354 355 410 411 420 430 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 550 551 552 553 554 560 561 562 563 570 571 572 573 574 580 590 710 720 721 722 723 730 740 741 750 751 760 761 770 810 820 830 840 850 851 852 870 871 880 910 920 921 930 940 941 950 951 960 961 962 970 980 1000 1010 1025 99999 Key	10 11 12 13 20 21 22 23 30 40 60 61 70 71 72 80 85 90 100 101 102 103 110 120 129 130 131 132 210 215 220 222 223 224 225 226 230 240 241 242 250 260 270 280 290 301 302 303 304 305 323 324 325 326 327 328 329 330 331 332 350 351 352 353 354 355 410 411 420 430 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 550 551 552 553 554 560 561 562 563 570 571 572 573 574 580 590 710 720 721 722 723 730 740 741 750 751 760 761 770 810 820 830 840 850 851 852 870 871 880 910 920 921 930 940 941 950 951 960 961 962 970 980 1000 1010 1025 99999 Key
Official Contact - Required Contact Name: first mi last Phone: Fax: E-Mail:
Additional Contact - Optional Contact Name: first mi last Phone: Fax: E-Mail:
Additional Contact - Optional Contact Name: first mi last Phone: Fax: E-Mail:
Additional Contact - Optional Contact Name: first mi last Phone: Fax: E-Mail:
Additional Contact - Optional Contact Name: first mi last Phone: Fax: E-Mail:

Section C

EEO / Affirmative Action Guidelines

The University of Minnesota is committed to the policy that all persons shall have equal access to its programs, facilities, and employment without regard to race, color, creed, religion, sex, age, marital status, disability, public assistance status, veteran status or sexual orientation and has agreed to transact business only with firms who follow these practices. Further, as necessary under federal statue the affirmative action for handicapped workers, 41 C.F.R. 60-741 and Minnesota statutes, section 363-073 and the Affirmative Action Program for Disabled Veterans and Veterans of the Vietnam Era (41 C.F.R. 60-250), and the equal opportunity clause, 41 C.F.R. 60-1.4 are hereby incorporated.

All contractors and vendors must apply every good faith effort to ensure implementation of this policy in their practices of employment, upgrading, demotion or transfer, recruitment, or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training including apprenticeship. Vendors and contractors will 1) Maintain non-segregated facilities for their employees and not allow their employees to perform services at any segregated facilities under their control. 2) Develop and have on file for each of their establishments, written Affirmative Action Plans, as required by the rules and regulations of the Secretary of Labor (revised order No. 441 C.F.R. 60-2). Refer to specifications and terms included in the University of Minnesota contracts, purchase orders, and other bid and purchase documents which will specify policy and expectations of its contractors and vendors.

Section D

LETTER OF UNDERSTANDING (LOU)

The official contact is responsible for reviewing the Letter of Understanding (LOU) with each of the additional contacts assigned to the company's subscription and will maintain the company's compliance with the terms below.

As the official contact on my company's subscription, I understand and agree to the following:

1. All requests for bid and requests for proposal initiated by the University of Minnesota Purchasing Services department will be available to me on BIS. I will receive via e-mail attachment or e-mail notice* , all bids in my subscribed categories and I have access to bids in non-subscribed categories. I understand that in the event of a system problem, the University will do everything possible to restore service as soon as possible.
   
   *For the safety of subscribers' systems, when a document is lengthy, the e-mail may only announce the availability of the documents on BIS. This e-mail will include instructions for obtaining the bid.
   
   
2. My access may be cancelled if I resell or publish the U of M bid information to another company or individual. I understand that once an access code has been approved and activated, there will be no refund for any reason. If my subscription is not renewed, my access will be revoked immediately.
   
   
3. I am responsible for reviewing bids provided through the BIS e-mails and for meeting and maintaining the minimum system requirements to view these documents. I agree to maintain accurate account properties on BIS including phone and fax numbers, and accurate e-mail addresses.
   
   
4. I am subject to the policies and procedures of the University of Minnesota Vendor Performance Program. If during the subscription period, my company is suspended or debarred from doing business with the University, my access will be revoked without refund until such time as the suspension/debarment is lifted on my company.
   
   
5. I may request results of recent bids or request for proposals from BIS. I may also request recent award information.

Section E

On Line Signature

As an official contact and representative of my company's subscription, I hereby certify that:

1. I agree with above stated subscription terms and conditions.
2. All contacts have read the above conditions and are acting as authorized representatives of my company.
3. The information herein is complete and accurate to the best of my knowledge.

Corporate Officer Name: Title: Date:

Corporate Officer Signature:                                                               (Required for paper VP form. Complete and submit to Purchasing Service)

Print a copy of this completed VP form for your files.

---

If you have any questions or would like additional information, please call our BIS Help Line at (612) 625-5534 or email bishelp@tc.umn.edu.

Section G

Instructions for Submitting Paper Subscription Form

1. Print this form and complete it.
2. Make a copy of the completed form for your records.
3. Submit the form Purchasing Services.

Access information will be e-mailed to each VP contact.





























































Back

Category Reference Table

Code Name 10 Business Services 11 Addressing/Mailing Services 12 Advertising-Newspapers, Radio, TV 13 Financing and Leasing Equipment 20 Office Supplies 21 File Folders, Filing Supplies 22 Envelopes 23 Paper, Copy/Cutsheet 30 Staffing-Temporary 40 Consulting Services 60 Clothing-Band Uniforms & Aprons 61 White Goods - Linens & Towels 70 Laundry Equipment 71 Laundry Supplies 72 Laundry Services 80 Furniture/Furnishings 85 Automotive (Motor Vehicle, Supplies and Parts) 90 Agriculture 100 Athletic Equipment 101 Athletic Supplies 102 Athletic Clothing 103 Athletic Exercise Equipment 110 Art Supplies 120 Musical Instruments & Supplies 129 Equipment Lessors 130 Miscellaneous 131 Materials For Sale 132 Security/Recovery/Storage 210 Waste Management 215 Elevator Maint & Repair 220 General Construction/Hardware 222 Architectual and Engineering Services 223 Asbestos Abatement - Twin Cities 224 Asbestos Abatement - Duluth 225 Asbestos Abatement - Crookston, Morris 226 Duct Cleaning 230 Electrical 240 Custodial - Supplies - Miscellaneous 241 Custodial - Paper 242 Custodial - Chemicals 250 Custodial - Equipment 260 Mechanical - HVAC 270 Fuel - Coal 280 Fuel - Oil & Gas 290 Material Handling/Heavy Equipment 301 Computer Consulting 302 Programming 303 Software Development 304 System Design 305 Web Design 323 Claims Management 324 Executive Search Firms 325 Auditing Services 326 Financial Consulting 327 Health Insurance 328 Management Consulting 329 Marketing Consulting 330 Security Services 331 Temporary Clerical Services 332 Training Services 350 Audio/Visual Production 351 Conference Planning/Evaluation 352 Editing/Proofreading 353 Graphic Design Services 354 Other Consulting Services 355 Photographic Services 410 Restaurant Equip (Service & Supplies) 411 Vending Equipment - Services & Supplies 420 Food - Non Vending 430 Food - Vending 509 Animals - Rabbits 510 Animals - Horses 511 Animals - Pigs 512 Animals - Cattle 513 Animals - Sheep 514 Animals - Monkeys 515 Animals - Mice & Rats 516 Animals - Miscellaneous 517 Animal Equipment 518 Veterinary Equipment

Code Name 519 Animal Blood, Tissue & Cells 520 Dental Supplies - Consumable 521 Dental Equipment 522 Dental Gold 523 Dental Supplies - Instruments 524 Dental Services 529 Radioactive Materials (Isotopes) 530 Lab Equipment- General 531 Chromatography 532 Electrophoresis 533 Camera Imaging/Microscopy 534 Spectroscopy 535 Molecular Biology Equipment 536 Nuclear & Luminescence Instrumentation 537 Used Laboratory Equipment 538 Laboratory Furniture 539 Analyzers 540 Lab Supplies 541 Gas Cylinders 542 Alcohol 543 Chemicals 544 Lab Supplies - Media, Enzymes 545 Machine Tools 546 X-Ray Equipment 550 Engineering Equipment & Supplies 551 Electronic Equipment & Supplies 552 Vacuum Pumps 553 Lasers 554 Drilling 560 Medical Equipment 561 Medical Supplies 562 Human Blood, Tissues & Cells 563 Optical Equipment & Supplies 570 Clinical Testing Services 571 Custom Services 572 Engineering Testing 573 Environmental Testing 574 Miscellaneous Testing 580 Pharmaceuticals 590 Lab Miscellaneous 710 Computer Hardware 720 Computer Software 721 Computer Hardware/Software Maintenance 722 Computer Supplies 723 Computer/Technology Services 730 Audio-Visual Equipment 740 Photo Supplies 741 Audio/Video Supplies 750 Telecommunications/Networking Equipment and Supplies 751 Telecommunications/Networking Services 760 Copiers - Service & Supplies 761 Fax Machines - Service & Supplies 770 Office Equipment - Miscellaneous 810 Forms 820 Publishing 830 Copying/Duplicating Services 840 Commercial Printing 850 Specialty Printing 851 Advertising/Promotional Printing 852 Advertising Novelties 870 Printing Supplies - Paper 871 Printing Supplies - Inks, Other Supplies 880 Printing Equipment 910 Travel Agencies 920 Car Rental 921 Ground Transportation (Taxi's, Limousines) 930 Bus Charter 940 Hotel-Lodging 941 Hotel - Local 950 Van Lines 951 Realty/Home Finding Services 960 Charter Air - Large Capacity 961 Charter Air - Small Capacity 962 Commercial Air 970 Corporate Cards 980 Travel Booking & Payment Technology 1000 Pre-Qualified A & E Vendors 1010 PeopleSoft - Consultants 1025 Procurement Consulting 99999 Unspecified