CITY OF SAGINAW, MICHIGAN CONTRACT COMPLIANCE AGREEMENT
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1 CITY OF SAGINAW, MICHIGAN CONTRACT COMPLIANCE AGREEMENT The undersigned and the corporation, company, firm or vendor that he/she represents in signing this agreement affirms, in accordance with the Saginaw Administrative Code, Chapter 3, Article 3, not to discriminate against any subcontractor, employee, or applicant for employment due to any of the following: race, creed, color, age, national origin, sex, height, weight, handicap or marital status and further affirms to abide by the provisions concerning such matters as set forth in the Fourteenth amendment to the U.S. Constitution and in Public Act 453 of 1976 of the Compiled Laws of the State of Michigan. This agreement covers activities such as employment, promotion, transfer, recruitment, advertising, layoff, termination, rates of pay, other compensation and training. In agreeing to these provisions, the corporation, company, firm or vendor shall also agree to permit the City to examine company practices, policies and records to verify and assure compliance. The undersigned further agrees that if any portion of this agreement is found to have been breeched or violated by the corporation, company, firm or vendor, the City reserves the right to terminate any contract, to refuse to accept business with such violators or to order corrective action to assure compliance. I, the owner or vendor, having read this agreement and by affixing my name to this document agree to abide by the provisions of this agreement and to accept any action resulting from any violation or breech of this agreement. NAME OF COMPANY STREET ADDRESS P.O. BOX CITY STATE ZIP CODE TELEPHONE ( ) FAX NUMBER ( ) ADDRESS TAX I.D. NUMBER OR SOCIAL SECURITY NUMBER Owner s/vendor s signature Title Saginaw-based (in city limits) YES NO Minority-owned YES NO Date Female-owned YES NO The bidder/vendor agrees that the City is authorized to conduct an independent verification of his/her qualifications. Subscribed and sworn to before me this day of, 20. Notary Public My Commission Expires: =============================================================================================== CITY USE ONLY: CERTIFIED THROUGH
2 CITY OF SAGINAW VENDOR INFORMATION Vendor Name: Payment Terms : Discount % Number of days Net due Day of month due Federal Tax ID (if applicable) Order Address Name : Address : City State Zip Code Contact Phone # Fax # Address Pay to Address Name : Address : City State Zip Code Contact Phone # Fax # Bid Address Name : Address : City State Zip Code Contact Phone # Fax # Tax Information (yes or no) Individual 1099
3 X Commodity Class List Please place an "X" by the items that you are interested in supplying Commodity Commodity Description 005 ABRASIVES 010 TILE CEILING & SUPPLIES 015 COPYING MACHINE SUPPLIES 020 AGRICULTURAL/STREETS EQUI 022 CONSTRUCTION EQUIPMENT 025 AIR COMPRESSORS 031 AIR CONDITIONING/HEATING 045 APPLIANCES 050 ART EQUIPMENT & SUPPLIES 055 AUTO & TRUCK ACCESSORIES 060 AUTO & TRUCK MAINT. ITEMS 065 AUTO BODIES & ACCESSORIES 070 VEHICLES 075 AUTO SHOP EQUIPMENT & SUP 080 BADGES & OTHER ID EQUIP. 085 BAGS,BAGGING,TIES,EROSION 100 BARRELS, DRUMS, KEGS, CTN 105 BEARINGS (EXCEPT WHEEL) 110 BELTS AND BELTING 120 BOATS,MOTORS,& MARINE SUP 125 BOOKBINDING & BOOK SUPPLY 135 BRICKS & CLAY PRODUCTS 145 BRUSHES (NOT CLASSIFIED) 150 BUILDER'S SUPPLIES 155 BUILDING, FABRICATED 165 CONCESSION & KITCHEN EQUI 170 CEMETERY SUPPLIES 175 LAB EQUIPMENT & SUPPLIES 190 CHEMICALS-CLINICAL 192 COMPOSITION/SOLVENTS 193 CLINICAL LAB REAGENTS TES 195 CLOCKS 200 CLOTHING & APPAREL 204 COMPUTER HARDWARE/PERIPHE 205 COMPUTERS,DP & WORD PROC. 206 COMPUTER SUPPLIES 210 CONCRETE & METAL CULVERTS 220 CONTRL,INDICA,RECORD INST 225 COOLER, DRINKING WATER 232 CRAFTS, GENERAL 233 CRAFTS, SPECIALIZED 240 CUTLERY,DISHES GLASS ETC, 245 DAIRY EQUIP & SUPPLIES 250 DATA PROC CARDS & PAPER 255 DECALS AND STAMPS 265 DRAPES,CURTAINS,UPHOLSTER 270 DRUGS,PHARM & BIOLOGICALS 280 ELECTRICAL CABLES & WIRES 285 ELECTRICAL EQUIP & SUPPLY 287 ELECTRONIC COMPONENTS 290 ENERGY COLLECTING EQUIPMT 295 ELEVATORS BLDG TYPE
4 300 EMBOSSING/ENGRAVING 305 ENGINEERING EQUIPMENT 310 ENVELOPES, PLAIN, PRINTED 315 EPOXY BASED FORMULAS 318 ENVIRONMENTAL DIVISION 320 FASTENERS, FASTENING DEVS 325 ANIMAL FEED AND SUPPLIES 330 FENCING 335 FERTILIZERS & SOIL CONDTN 340 FIRE PROTECTION EQUIP/SUP 345 SAFETY EQUIP & FIRST AID 350 FLAGS,POLES,BANNERS,ACCES 360 FLOOR COVERING, INSTALLED 365 FLOOR MAINT MACHINE,PARTS 375 FOODS BAKERY 380 FOODS:DAIRY PRODUCTS 390 FOOD CONCESSION 395 FORMS, CONT. COMPUTER 400 CASTINGS, FOUNDRY 405 FUEL,OIL,GREASE, & LUBES 410 FURNITURE,HEALTH& HOSPITL 415 FURNITURE,LAB,SPECIAL 420 FURNITURE, NON OFFICE 425 FURNITURE, OFFICE 430 GASES CONT.EQUIP:LAB,WELD 435 GERMICIDES/PERSONAL PROD. 440 GLASS & GLAZING SUPPLIES 443 GOVERNMENTAL 445 TOOLS-HAND & POWER 450 HARDWARE, SUPPLIES 460 HOSES, ALL KINDS 475 INDUSTRIAL SUPPLIES 485 JANITORIAL SUPPLIES 490 LABORATORY EQUIP & ACCESS 493 LAB EQUIP,BIO,CHEM,ENVIR 495 LAB &FIELD EQUIP,BIO,BOT 500 LAUNDRY&DRY CLEAN EQUIP 505 LAUNDRY& DRY CLEAN SUPPLY 510 LAUNDRY TEXTILE SUPPLY 515 LAWN MAINTENANCE EQUIP 520 LEATHER SUPPLIES 525 LUGGAGE & SUPPLIESI 530 BUSINESS CARD HOLDERS 540 LUMBER& RELATED PRODUCTS 545 HARDWARE EQUIPMENT 550 MARKERS, PLAQUES,SIGNS 555 MARKING & STENCIL DEVICES 556 MASS TRANS, TRASIT BUS 557 MASS TRANS,ACCES& PARTS 558 MASS TRANS, RAIL VEHICLES 559 MEDICAL SUPPLIES/EQUIP 560 MATERIAL HNDLING&STOR EQP 570 METALS,BARS,PLATES,RODS 575 MICROFICHE,MICROFILM 578 MISCELLANEOUS PRODUCTS 580 MUSICAL INSTRUMENTS,ACCES 590 NOVELTIES & DECORATIONS
5 595 NURSERY STOCK & SUPPLIES 600 OFFICE MACHINES & ACCESS 605 OFFICE MECH AIDS,SM MACHI 610 OFFICE SUPPLIES,PAPER/RIB 615 OFFICE SUPPLIES, GENERAL 620 OFFICE SUPPLY,INKS,LEADS 625 OPTICAL EQUIP ACESS& SUPP 630 PAINTS,COATINGS,WALLPAPER 635 PAINTING EQUIPMENT & ACC 640 PAPER & PLASTIC-DISPOSABL 645 PAPER (OFFICE,PRINT SHOP) 650 PARK,PLAYGROUND,REC EQUIP 655 PHOTOGRAPHIC EQUIPMENT 658 PIPE AND TUBING 659 PIPE FITTINGS 660 FARE COLLECTION EQUIPMENT 665 PLASTICS 670 PLUMBING EQUIP FIXT,SUPP 675 POISONS:AGRICUL & INDUSTR 680 POLICE EQUIPMENT & SUPPLY 690 POWER GENERATION EQUIP 691 POWER TRANSMISION EQUIP 700 PRINTING EQUIP & SUPPLIES 710 PARK MAINTENANCE SUPPLIES 711 PROCESS CONTROLS 715 PUBLICATION/AUDIOVISUAL 720 PUMPS & ACCESSORIES 725 RADIO & TELECOMMUNICATION 730 RADIO COM & TELE TEST EQP 735 RAGS,SHOP TOWELS,WIPING 740 REFRIGERATION EQUIPMENT 745 ROAD/HWY MATERIAL ASPHLT 750 ROAD/HWY MAT NONASPHALTIC 755 ROAD/HIGHWAY EQUIPMENT 760 ROAD/HWY EQUIP EARTH,GRD 765 ROAD/HGWY HEAVY EQUIPMENT 770 ROOFING MATERIALS 775 SALT (SODIUM CHLORIDE) 780 SCALES/WEIGHING APPARATUS 785 SCHOOL EQIUP & SUPPLIES 790 SEED,SOD,SOIL&INOCULANT 795 SEWING RM,TEXTILE MACHINE 800 SHOES AND BOOTS 801 SIGNS, SIGN MATERIAL 803 SOUND SYSTEMS & ACCESSORY 805 SPORTING & ATHLETIC EQUIP 810 SPRAYING EQUIPMENT 815 STEAM & HOT WATER FITTING 820 STEAM & HOT WATER BOILERS 825 STOCKMAN EQUIP & SUPPLIES 830 TANKS:MOBILE,PORT,STATION 832 TAPE(NOT DP,SOUND,VIDEO) 840 TELEVISION EQUIP & ACESS 845 TESTING APP/NOT ELECTRIC 850 TEXTILE,FIBERS,LINENS 860 TICKETS,COUPON BKS, ETC 863 TIRES AND TUBES
6 864 TRAIN CONTROLS ELECTRONIC 865 TWINE 870 VENETIAN BLINDS ETC 875 VET EQUIP & SUPPLIES 880 VISUAL EDUCATION EQUIPMNT 885 CHEMICAL, WATER TREATMENT 890 WATER SEWAGE TREATMENT EQ 895 WELDING EQUIPMENT/SUPPLY 905 AIRCRAFT OPERATIONS SERVS 906 ARCHITECT&OTHER DESIGN 908 BOOKBINDING, REPAIRING 909 BLDG CONSTRUC. SERVICES- 910 BUILDING MAINT&REPAIR SER 913 CONSTRUCTION SERVICE HEAVY 914 CONSTRUCTION SERVICES 915 COMMUNICATIONS/MEDIA SERV 918 CONSULTING SERVICES 920 DATA PROC SERV &SOFTWARE 924 EDUCATIONAL SERVICES 925 ENGINGEERING SERVICES 926 ENVIRONMENTAL SERVICES 928 EQUIP. MAINT. AUTO,TRUCK 929 EQUIP MAINT & REPAIR SERV - HEAVY INDUSTRIAL 931 EQUIP MAINT & REPAIR SERV - APPLIANCE 934 EQUIP MAINT & REPAIR SERV - LAUNDRY 936 EQUIP,MAINT & REPAIR SERV - GENERAL EQUIPMENT 938 EQUIP MAINT & REPAIR SERV - LABORATORY 939 EQUIP MAINT & REPAIR SERV - OFFICE 940 EQUIPT MAINT REPAIR, CONTRUCTION & RELATED 941 EQUIP MTNCE-POWER GENERAT 945 FABRICATION SERVICES 946 FINANCIAL SERVICES 948 HEALTH RELATED SERVICES 952 HUMAN SERVICES 953 INSURANCE, ALL TYPES 954 LAUNDRY/DRY CLEANING SERV 956 SUBSCRIPTION 961 PROFESSIONAL SERVICE 962 SERVICES-MISCELLANEOUS 964 PERS,TEMP EMPLOYMENT AGCY 965 PRINTING PREPARATIONS 966 PRINTING SERVICES 968 PW CONSTRUCTION & RELATED 970 SHIPPING AND HANDLING 971 REAL PROPERTY,RENT/LEASE 975 RENTAL/LEASE HEAVY EQUIPMENT 977 RENTAL/LEASE SUPPLIES 979 RENTAL/LEASE SM MACHINES 981 RENTAL/LEASE EQUIPMENT 983 RENTAL/LEASE JANITOR EQUI 985 RENTAL/LEASE OFFICE MACHI 988 ROADSIDE,GRNDS,REC, PARK 990 SECURITY SERVICES 992 TEST & CALIBRATION SERVI 998 CONTRACTORS SERVICES
7 If there are items that you are interested in supplying that are not on the above list, please enter them below:
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Subject to Bidding (Based on 2015 Purchases) Commodity Code 2016 PURCHASING COMMODITY CODES Description 005 Abrasives 010 Acoustical Tile, Insulating Materials & Supplies 015 Addressing, Copying, Mimeograph
BUYER. 031 HVAC: Equipment and Parts. Brandie Bingham. 055 Auto Accessories. Brandie Bingham. 060 Auto and Trailer Parts.
BUYER Material Group DESCRIPTION 010 Acoustic Tile and Insulation Rita Pauley 015 Toner for Office Equipment Dallas Arter 020 Agriculture Equipment Tim Jones 022 Agriculture Parts Tim Jones 025 Air Compressor
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