HomeMy WebLinkAboutRFP attachment BAttachment B
PARTICIPATION CERTIFICATE
A. After a competitive bidding and selection process, VENDOR NAME. (herein "Vendor") has
entered into Master Agreement No. with (herein
"Master Agreement") to provide Office and Stationery Supplies and Equipment, School Supplies,
Computer Equipment and Supplies, Furniture, and Related Services (herein "Products").
B. Master Agreement, through the U.S. Communities Government Purchasing Alliance, provides
that other public agencies may purchase Products on the same terms, conditions and pricing as
, subject to any applicable local purchasing ordinances and the
laws of the State of purchase.
C. On behalf of the public agency identified (the Participating Public Agency) the undersigned
purchasing agent of the Participating Public Agency or other duly authorized agent of the
Participating Public Agency hereby agrees to the terms and provisions of the Master Agreement,
subject to any applicable local purchasing ordinances and the laws of the State of purchase, and to
participate in the Master Agreement to purchase Products from Vendor pursuant to such Master
Agreement as the Participating Public Agency may specify from time to time.
Signature:
Date:
F) PUBLIC AGENCY:
Name:
Please mark the appropriate box:
Lead Agency
is Lead Agency Special
District
is City, Town or Village
es City Special District
School (specify):
K-12
Department :
.ec Community College
is College & University
Other (specify):
is State Agency
Qs Independent Special District
.is Non -Profit 50 1(c)3
is Other:
CONTACT PERSON:
Name:
Title:
Mailing Address:
City:
Telephone:
E-Mail:
State: _ Zip:
Fax:
Vendor Account #
Please fax the completed form to: Updated: 8/05/01