Purchasing Department
402 Culkin Hall

The Bidder’s List Application

Vendor/ Contractor Name: ________________________________________________

Federal Identification No.: ________________________________________________

Complete Address:
______________________________________________________

______________________________________________________

______________________________________________________

______________________________________________________

Contact Person: ________________________________________________________

Area Code /Phone Number & Extension _____________________________________

Area Code /FAX # ______________________________________________________

1. Description of the Main Commodity / Service being offered:

(attach Line Card if applicable)

2. Manufacturers Represented, list please:

3. Basic Qualifications:

4. Years in Business:

5. Annual Sales:

If a Division of a company, Annual Sales:

4. Are you a Minority or Women owed business?: (Check all that apply)

Minority owned - Certification #_____________________________________

Women owned - Certification #_____________________________________

5. How much business does your company do with the State of New York or its

agencies (in U.S? Dollars)?

6. Do you do business with other SUNY institutions? ____ YES ____ NO

7. If Yes List for reference.

For inclusion on the Campus bidders list Please Return to:

OSWEGO State University of New York
Purchasing Department
402 Culkin Hall
Oswego, NY 13126