State of Kansas Bidder Application

1. State of Kansas Bidders Application

 
Please complete this application with contact data and information for you and your company. NOTE: You only need to submit this application once, but you will need to keep the company information and email addressed current to receive bid solicitations. Please email updates to bids@da.ks.gov .

Upon completion of this application, you MUST immediately fax a copy of your current Federal W-9 Form (Request for Taxpayer Identification Number and Certification) with a signature no other than six (6) months to the Office of Procurement & Contracts at 785-296-7240. You may also email the W-9 Form to: bids@da.ks.gov . Your application will not be processed without a W-9 form with a signature no older than six (6) months. A copy of the blank W-9 form is available at the Procurement & Contracts website http://admin.ks.gov/offices/procurement-and-contracts/procurement-forms.

If you need assistance with filling out the Bidder Application Survey, please call 785-296-2376.

Questions marked with an asterisk (*) are required and must be answered to complete the application.
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1. What is your official Company Name? (Should match the W-9 Form)
2. What is the URL for your Company's website?
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3. Company Contact Person for Bidding Purposes:
4. Contact Person Title:
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5. Contact Person Email (This MUST be a current email address that can receive Bidding Notices and Purchase Orders. If the email address changes you must notify the Division immediately.):
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6. Phone Number (Please include Area Code):
7. Telephone Extension:
8. Fax Number (Please include Area Code):
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9. What is your Company's Mailing Address?
(This must be a current address which will receive bid solicitations or correspondence. It will be your responsibility to send timely notification of any change.)
10. If your mailing address has additional lines, please enter them here (i.e., Suite Numbers, Postal Drops, etc.).
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11. City:
12. County:
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13. State: (2 Characters)
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14. Postal/Zip Code (When using +4):
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15. Please enter your 9-digit Tax Identification Number
Upon completion of this application, you MUST immediately Fax a copy of your current Federal W-9 Form (Request for Taxpayer Identification Number and Certification) to the Office of Procurement & Contracts at 785-296-7240. You may also email the W-9 Form to: bids@da.ks.gov . Your application will not be processed without the W-9 form. The W-9 must have signature no other than six (6) months.A copy of the blank W-9 form is available at the Procurment & Contracts website http://admin.ks.gov/offices/procurement-and-contracts/procurement-forms
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