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COPYRIGHT NOTICE. Copyright 2004 County of Botetourt, Virginia and/or its suppliers, 1 West Main Street, Fincastle, VA 24090 U.S.A. All rights reserved.
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Botetourt Purchasing

Bidder's Application

Please complete and submit the application below to add your firm to Botetourt County's list of qualified bidders.

Name of Firm   
Mailing Address   
 
City, State, Zip   
Phone No.   
Fax No.   
E-mail Address   
Type of Business  Manufacturer/Producer   Wholesaler   Retailer   Distributor   Manufacturer's Agent   Service Establishment   Jobber  
Type of Organization    Individual   Partnership   Corporation
Federal ID No.   
State of Incorporation   
Location of Main Office   
Occupational License No.   
Year Business Established   
Names of Officers/Owners    President
  Vice President
  Treasurer
  Secretary
  Owners
Person to contact
on matters concerning
Bid/Contract issues 		   Contact Name
  Official Capacity
  Phone No.
Commodity Codes   Indicate equipment, supplies, material, and/or services on which you desire to bid:

5 - Abrasives
10 - Acoustical tile, Insulating materials, & supplies
15 - Addressing, copying, mimeograph & spirit duplicating machine supplies: chemicals, inks, paper, etc
19 - Agricultural Crops & Grains including fruits, melons, nuts & vegetables
20 - Agricultural equipment, implements & accessories
22 - Agricultural implement & accessory parts
25 - Air compressors & accessories
31 - Air conditioning, heating & ventilating: equipment, parts & accessories (see related items in Clas
35 - Aircraft & Airport, equipment, parts & supplies
37 - Amusement, Decorations, Entertainment, Toys, etc,
40 - Animals, live: bees, dogs, fish, livestock, poultry
45 - Appliances & Equipment, household type
50 - Art equipment & supplies
52 - Art objects
55 - Automotive accessories for automobiles, bus, trucks, etc,
60 - Automotive maintenance items & repair/replacement parts
65 - Automotive bodies, accessories & parts
70 - Automotive vehicles & related transportation equipment
75 - Automotive shop equipment & supplies
80 - Badges, emblems, nametags & plates, jewelry, etc,
85 - Bags, bagging, ties & erosion control equipment
90 - Bakery equipment, commercial
95 - Barber & beauty shop equipment & supplies
99 - Policy Manuals
100 - Barrels, drums, kegs & containers
105 - Bearings (except wheel bearings & seals -- See Class 060)
110 - Belts & belting: conveyor, elevator, power transmission, v-belts
115 - Biochemical, research
120 - Boats, motors, marine supplies
125 - Bookbinding supplies
135 - Bricks & other clay products, refractory materials, stone products
140 - Broom, brush, & mop manufacturing machinery & supplies
145 - Brushes (not otherwise classified)
150 - Builder’s Supplies
155 - Buildings & Structures: Fabricated & Prefabricated
160 - Butcher Shop & Meat Processing Equipment
165 - Cafeteria & Kitchen Equipment, Commercial
175 - Chemical Laboratory Equipment & Supplies
180 - Chemical Raw Materials (In large quantities primarily for mfg, janitorial & laundry products)
190 - Chemicals & Solvents, Commercial (In bulk)
192 - Cleaning Compositions, Detergents, Solvents & Strippers Prepack
193 - Clinical Lab Reagents and Tests (Blood Grouping, Diagnostic, Drug Monitoring, etc,)
195 - Clocks, Timers, Watches & Jewelers’ & Watchmakers’ Tools and Equipment
200 - Clothing, Apparel, Uniforms, & Accessories
204 - Computer Hardware & Peripherals for Microcomputers
206 - Computer Hardware & Peripherals for Mini & Mainframe Computers
207 - Computer Accessories & Supplies
208 - Computer Software for Microcomputers (preprogrammed)
209 - Computer Software for Mini & Mainframe Computers (preprogrammed)
210 - Concrete & Metal Culverts, Pilings, Pipe, Septic Tanks, Accessories & Supplies
220 - Controlling, Indicating, Measuring, Monitoring, & Recording Instruments & Supplies
225 - Coolers, Drinking Water (water fountains)
232 - Crafts, General
233 - Crafts, Specialized
240 - Cutlery, Dishes, Flatware, Glassware, Trays, Utensils & Supplies
245 - Dairy Equipment & Supplies
250 - Data Processing Cards & Paper
255 - Decals & Stamps
260 - Dental Equipment & Supplies
265 - Draperies, Curtains & Upholstery Material (including automobile)
269 - Drugs & Pharmaceuticals
271 - Drugs, Pharmaceuticals & Sets (for large-volume parenteral administration, infusion, irrigation & t
280 - Electrical Cables & Wires (not electric)
285 - Electrical Equipment & supplies (except cable & wire)
287 - Electronic Components, Replacement Parts & Accessories & Misc, Electronic Equipment (not for testin
290 - Energy Collecting Equipment & Accessories: Solar & Wind
295 - Elevators & Escalators, Building Type
305 - Engineering Equipment, Surveying Equipment, Drawing Instruments & Supplies
310 - Envelopes, Plain or Printed
315 - Epoxy Based Formulations for Adhesives, Coatings & Related Agents
318 - Fare Collection Equipment & Supplies
320 - Fastening, Packaging, Strapping, Tying Equipment & Supplies
325 - Feed, Bedding, Vitamins & Supplements for Animals
330 - Fencing
335 - Fertilizers & Soil Conditioners
340 - Fire Protection Equipment & Supplies
345 - First Aid & Safety Equipment & Supplies (nuclear & welding)
350 - Flags, Flag Poles, Banners & Accessories
360 - Floor Coverings, Floor Covering Installation & Removal Equipment & Supplies
365 - Floor Maintenance Machines, Parts & Accessories
370 - Food Processing & Canning Equipment & Supplies
375 - Foods: Bakery Products (fresh)
380 - Foods: Dairy Products (fresh)
385 - Foods: Frozen
390 - Foods: Perishable
393 - Foods: Staple Grocery & Grocer’s Misc, Items
395 - Forms, Continuous: Computer Paper, Form Labels, Snap-out Forms & Folders for Forms
400 - Foundry Castings, Equipment, & Supplies
405 - Fuel, Oil, Grease & Lubricants
410 - Furniture: Health Care & Hospital Facility
415 - Furniture: Laboratory
420 - Furniture: Cafeteria, Chapel, Dormitory, Household, Library, Lounge, School
425 - Furniture: Office
430 - Gases, Containers, Equipment: Laboratory, Medical & Welding
435 - Germicides, Cleaners & Related Sanitation Products for Health Care Personnel
440 - Glass & Glazing Supplies
445 - Hand Tools (powered & non-powered), Accessories & Supplies
450 - Hardware & Related Items
460 - Hose, Accessories, & Supplies: Industrial, Commercial & Garden
465 - Hospital & Surgical Equipment, Instruments & Supplies
470 - Hospital Equipment & Supplies: Mobility, Speech Impaired & Restraint Items
475 - Hospital, Surgical & Related Medical Accessories & Sundry Items
485 - Janitorial Supplies, General Line
490 - Lab Equipment & Accessories (for general analytical & research use): Nuclear, Optical & Physical
493 - Lab Equipment & Accessories: Biochemistry, Chemistry, Environmental Science
495 - Lab & Field Equipment & Supplies: Biology, Geology, Microbiology, Zoology
500 - Laundry & Dry Cleaning Equipment, Accessories, Parts & Supplies – Commercial
505 - Laundry & Dry Cleaning Compounds & Supplies
510 - Laundry Textiles & Supplies
515 - Lawn Maintenance Equipment, Accessories & Parts (non-agricultural applications)
520 - Leather & Related Equipment, Products, Accessories & Supplies
525 - Library & Archival Equipment, Machines & Supplies
530 - Luggage, Brief Cases, Purses & Related Items
540 - Lumber & Related Products
545 - Machinery & Hardware, Industrial
550 - Markers, Plaques & Traffic Control Devices
555 - Marking & Stenciling Devices
556 - Mass Transportation – Transit Bus
557 - Mass Transportation – Transit Bus
558 - Mass Transportation – Rail Vehicles & Systems
559 - Mass Transportation – Rail Vehicle Parts & Accessories
560 - Material Handling & Storage Equipment & Allied Items
565 - Mattress Manufacturing Machinery & Supplies
570 - Metals: Bars, Plates, Rods, Sheets, Strips, Structural Shapes, Tubing & Fabricated Items
575 - Microfiche & Microfilm Equipment, Accessories & Supplies
578 - Miscellaneous Products
580 - Musical Instruments, Accessories & Supplies
590 - Notions & Related Sewing Accessories & Supplies
595 - Nursery Stock, Equipment & Supplies
600 - Office Machines, Equipment & Accessories
605 - Office Mechanical Aids, Small Machines, & Apparatuses
610 - Office Supplies: Carbon Paper & Ribbons, All types
615 - Office Supplies: General
620 - Office Supplies: Erasers, Inks, Leads, Pens, Pencil, etc,
625 - Optical Equipment, Accessories & Supplies
630 - Paint, Protective Coatings, Varnish, Wallpaper & Related Products
635 - Painting Equipment & Accessories
640 - Paper & Plastic Products, Disposable
645 - Paper (For office & print shop use)
650 - Park, Playground & Swimming Pool Equipment
652 - Personal Hygiene & Grooming Equipment & Supplies
655 - Photographic Equipment & Supplies (not including graphic arts, microfilm & x-ray)
658 - Pipe & Tubing
659 - Pipe Fittings
660 - Pipes, Tobaccos & Smoking Accessories
665 - Plastics, Resins, Fiberglass: Construction, Forming, Laminating Molding Equipment Accessories & Sup
670 - Plumbing Equipment, Fixtures & Supplies
675 - Poisons: Agricultural & Industrial
680 - Police Equipment & Supplies
685 - Poultry Equipment & Supplies
690 - Power Generation Equipment, Accessories & Supplies
691 - Power Transmission Equipment – Electrical, Mechanical, Air & Hydraulic
700 - Printing Plant Equipment & Supplies (except papers)
710 - Prosthetic Devices, Hearing Aids, Auditory Testing Equipment, Electronic Reading Devices
715 - Publications & Audiovisual Materials (prepared materials only, not equipment, supplies or productio
720 - Pumping Equipment & Accessories
725 - Radio Communications, Telephone & Telecommunications Equipment, Accessories & Supplies
730 - Radio Communication & Telecommunication Testing, Measuring & Analyzing Equipment Accessories & Supp
735 - Rags, Shop Towels & Wiping Cloths
740 - Refrigeration Equipment & Accessories
745 - Road & Highway Building Materials (asphaltic)
750 - Road & Highway Building Materials (not asphaltic)
755 - Road & Highway Equipment & Parts: Asphalt & Concrete Handling & Processing
760 - Road & Highway Equipment: Earth Handling, Grading, Moving, Packing, etc,
765 - Road & Highway Equipment (except asphalt, concrete & earth handling equipment in classes 755 & 860)
770 - Roofing (except wood – See Class 540)
775 - Salt (sodium chloride) See Class 175-08 for Laboratory Balances)
780 - Scales & Weighing Apparatus (See 175-08 for Laboratory Balances)
785 - School Equipment & Supplies
790 - Seed, Sod, Soil & Inoculants
795 - Sewing Room & Textile Machinery & Accessories
800 - Shoes & Boots
801 - Signs, Sign Materials, Sign Making Equipment & Related Supplies
803 - Sound Systems, Components & Accessories: Group intercom, Music Equipment Marine Equipment Public Ad
805 - Sporting & Athletic Goods
810 - Spraying Equipment (except household, nursery plant & paint)
815 - Steam & Hot Water Fittings, Accessories & Supplies
820 - ,Steam Boilers, Steam Heating, & Power Plant Equipment
825 - Stockman Equipment & Supplies
830 - Tanks (metal, wood & synthetic materials): Mobile, Portable & Stationary
832 - Tape (not data processing, measuring, optical, sewing, sound or video)
840 - Television Equipment & Accessories
845 - Testing Apparatus & Instruments (not for electrical or electronic measurements)
850 - Textiles, Fibers, Household Linens & Piece Goods
855 - Theatrical Equipment & Supplies
860 - Tickets, Coupon Books, Sales, Books, Script Books, etc,
863 - Tires & Tubes
864 - Train Controls, Electronic
865 - Twine
870 - Venetian Blinds, Awnings & Shades
875 - Veterinary Equipment & Supplies
880 - Visual Education Equipment & Supplies (except projection lamps – See Class 285)
885 - Water Treating Chemicals
890 - Water Supply & Sewage Treatment Equipment (not for air conditioning, steam boiler or laboratory rea
895 - Welding Equipment & Supplies
898 - X-Ray & Other Radiological Equipment & Supplies (medical)
905 - Aircraft Operations Services
906 - Architect – Engineer & Other Professional Design Services (For construction coverage – See Public Wo
908 - Bookbinding, Rebinding and Repairing
909 - Building Construction Services – Equipment, Furnishings & Work Covered by Building Construction Con
910 - Building Maintenance & Repair Services
912 - Construction Services, General
913 - Construction Services, Heavy
914 - Construction Services, Trade (New construction)
915 - Communications & Media Related Services
918 - Consulting Services
920 - Data Processing Services & Software
924 - Educational Services
925 - Engineering Services, Professional
926 - Environmental & Ecological Services
928 - Equipment Maintenance, Reconditioning & Repair Services for Automobiles, Trucks, Trailers, Transit
929 - Equipment Maintenance, Reconditioning & Repair Services for Agricultural, Heavy Industrial Equipmen
931 - Equipment Maintenance, Reconditioning & Repair Services for Appliance, Athletic, Cafeteria Furnitur
934 - Equipment Maintenance, Reconditioning & Repair Services – Laundry, Lawn, Painting, Plumbing & Spray
936 - Equipment Maintenance, Reconditioning & Repair Services – General Equipment
938 - Equipment Maintenance, Reconditioning & Repair Services – Hospital, Laboratory & Testing Equipment
939 - Equipment Maintenance, Reconditioning & Repair Services – Office, Photographic & Radio/Television
940 - Equipment Maintenance, Repair & Construction Services – Railroad
941 - Equipment Maintenance, Reconditioning, Repair & Related Services – Power Generation
945 - Fishing, Hunting, Trapping, Game Propagation & Related Services
946 - Financial Services
947 - Forestry Services
948 - Health Related Services (For Human Services See Class 952)
952 - Human Services
953 - Insurance, All Types
954 - Laundry & Dry Cleaning Services
956 - Library Services (Excluding Class 908 – Bookbinding, Rebinding & Repairing)
959 - Marine Construction Services; Marine Equipment Maintenance & Repair, Related Marine Services
961 - Miscellaneous Professional Services
962 - Miscellaneous Services
964 - Personnel, Temporary (Employment Agency Services)
965 - Printing Preparations; Etching, Photoengraving & Preparation of Mats, Negatives & Plates
966 - Printing & Related Services
968 - Public Works, Construction & Related Services
971 - Real Property Rental or Lease
975 - Rental or Lease of Equipment – Agricultural, Aircraft, Automotive, Heavy
977 - Rental or Lease Services of Equipment – Appliances, Cafeteria, Film, Furniture, Hardware, Musical,
979 - Rental or Lease Services of Equipment – Engineering, Hospital, Lab, Precision Instruments, Refriger
981 - Rental or Lease of Equipment – General Equipment
983 - Rental or Lease of Equipment – Janitorial, Laundry, Lawn Painting, Spraying & Textile Equipment
984 - Rental or Lease Services of Computer Data Processing & Word Processing Equipment
985 - Rental or Lease Services of Equipment – Office, Photographic, Printing, Radio/Television/Telephone
988 - Roadside, Grounds & Park Area Services
989 - Sampling & Sample Preparation Services (for testing)
990 - Security, Fire, Safety & Emergency Services
992 - Testing & Calibration Services
998 - Sale of Surplus & Obsolete Items


*****

If you have selected any of the following Commodity Codes - 578, 918, 924, 961 or 962 - due to the vagueness of these codes, please identify the primary product/service that your firm furnishes in the space below.

Please provide references consisting of your financial institution and previous clients.
   Financial Institution
Name   
Address   
 
Contact Name   
Phone Number   
Type of Accounts   
   Client Reference
Name   
Address   
 
Contact Name   
Phone Number   
   Client Reference
Name   
Address   
 
Contact Name   
Phone Number   
   Client Reference
Name   
Address   
 
Contact Name   
Phone Number   

By submitting this Application I certify that the information supplied herein is correct. I understand that this Application is subject to review and investigation prior to validation for placement on approved Bidders Mailing Lists. I further understand that failure to respond to three consecutive bid requests may be cause for suspension.

Name   Title