Company Name:
Address:
City:
State:
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South Carolina
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Zip:
Phone:
Company E-mail Address
Address Bids are to be mailed to (if different from above):
Type of Organization (check one):
Incorporated under the Laws of the State of:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Name(s) and Title(s) and Phone Number(s) of Person(s) authorized to sign bid documents and contracts in company's name:
Identify Equipment, Supplies, Materials, and/or Services on which you desire to bid. Identify one primary product and three sub-classes, denoting 3-digit class code (click here for list - need Excel 97 Viewer ). Include a brief explanation for each code.
Type of Ownership (check one):
Note: If you select MBE or WBE Business, you MUST send a copy of your certification approval letter to:
Department of General Services Purchasing Division
502 City-County Building Pittsburgh, Pa 15219
(412) 255-2485
Or, fax requests are accepted at (412) 255-2367.
Check One:
Initial Application
Revision
Before clicking "Submit," PLEASE be sure that you have completely and accurately filled out every field in this form. If you do not fill out every field completely and accurately, the City of Pittsburgh is not and cannot be responsible for responding to your application.
Also, the information you submit via this form will not be secure in transit. If you do not feel comfortable submitting the form electronically, simply use our print-out form and mail it to us.