This is an electronic application that will be sent to the Purchasing Department at the University of Maine. Please fill out the following information.
Physical Address : Facsimile # :
City : State : Zip Code :
Federal Employer Identification Number :
Social Security Number (if an individual) :
Official Title :
E-mail :
Name:
Official Title:
Company's Current General Liability Insurance Coverage:
1st Choice : Please Choose From Look Up Table Accounting Services Acoustical Screens ADA Equipment Advertising Air Conditioning Anti-Freeze Apparel & Footware (Non-Sport) Appliances Architectural Services Art Equipment & Supplies Asbestos Mgmt Services Athletic Equipment (General) Athletic Training Equip & Supplies ATM Machine ATV/Snowmobile Automotive Parts Automotive Services Automotive Supplies A/V Equipment & Supplies A/V Services Baseball Equipment Baseball Uniforms Basketball Equipment Basketball Uniforms Bleachers Boat Motors Boats Broadcasting Equipment Broadcasting Services Building Materials Buildings Busing Cabinets Carpet Carpet Installation Cellular Phones Centrifuges Change Machines Communication/Radio Equipment Communication Services Computer Maintenance Computer Peripherals Computer Programming Computer Software Computer Supplies Computers - PC's Computers - Other Concession Construction Equipment Construction Services Consulting Services Copier Maintenance Copiers Curtains, Theatre Decals Dental Equipment & Supplies Doors & Hardware Doors, Overhead Drafting Equipment Drafting Services Draperies Electrical Equipment Electrical Services Electrical Supplies Electronic Parts Electostatic Painting Elevator Maintenance Elevators Engineering Services Engraving/Etching Services Entertainment Supplies Envelopes Environmental Testing Exercise/Fitness Equipment Farm Equipment Feed Fencing Fertilizer Fiber Optic Equip & Supplies Field Hockey Equipment Financial Services Fire Safety Financial Services Floor Mats Floor Repair Flooring Folding Machines Food Service Football Equipment Football Uniforms Footwear Forklift Trucks Forms, Printed Freezers Freight Fuel, Gasoline Fuel, Heating Fume Hoods Furniture, Dorm Furniture, Office Furniture, Lab Furniture Refinishing Gas, Compressed Glass Generators Graduation Apparel & Supplies Gym Equipment & Supplies Hazardous Waste Services Hearing Equipment Heavy Equipment Rental Hockey Equipment & Supplies HVAC Equipment HVAC Services HVAC Supplies Hydraulics Ice Arena Equipment Ice Machines ID Cards Incubators Inks/Chemicals Instructional Services Insulation Services Insulation Supplies Insurance, Student Interior Design Services Janitorial Equipment Janitorial Services Janitorial Supplies Jewelry Labels Laminating Equipment Landscape Contractors Landscape Services Laundry Equipment Laundry Services Legal Services Library Equipment Licensing Lifting Equipment Lighting Linens/Textiles Line Painting Lockers Locksmith Supplies Lumber/Wood Mail Services Mailing Machine Equipment Maps/Mapping Material Handling Equipment Mattresses Medical Equipment & Supplies Microfiche Microwave Equipment Moving & Storage Mowing Equipment Music Oscilloscopes (See Test & Measure) Office Equipment Office Supplies Oil Tanks Optical Paint Paint Contractors Paper Paper Products/Janitorial Paving Contractors Pesticide Control Services Pesticides Photographic Equipment & Supplies Plants Plowing Plumbing Equipment & Supplies Printing Services Printing Supplies Radio Services Recreational Equipment Recycling Services Refrigeration Supplies Refrigerators Refrigerators, Commercial Rings Road Salt & Sand Roofing Contractors Safes/Vaults Sand/Gravel Scientific Equipment Scientific Supplies Seating Security Alarm Services Security Services Seeds Sheet Metal Shelving, Industrial Shelving, Other Shipping Signs/Signage Snow Removal Equipment Snow Removal Services Soccer Equipment & Supplies Softball Equipment & Supplies Sprinkler Systems Storage Surveying Instruments Swimming Equipment & Supplies Swimming Pool Equipment Sweeping, Road Telecommunication Equip & Supp Temporary Labor Services Tennis Equipment & Supplies Test & Measurement Equipment Theatrical Equipment Tickets, Printed Time Clocks Tires Toner Track Equipment & Supplies Traffic Paint Trailers Travel Agency Services Trophies Typewriter Maintenance Uniform Rental Vacuum Equipment, Lab Valves & Fittings Vehicles Vehicles - Leased Vending Machines Vending Services Veterinary Equipment & Supplies Volleyball Equipment & Supplies Water Systems, Lab Weather Instruments Welding Services & Supplies Windows Window Coverings Wire and Cable X-Ray
2nd Choice : Please Choose From Look Up Table Accounting Services Acoustical Screens ADA Equipment Advertising Air Conditioning Anti-Freeze Apparel & Footware (Non-Sport) Appliances Architectural Services Art Equipment & Supplies Asbestos Mgmt Services Athletic Equipment (General) Athletic Training Equip & Supplies ATM Machine ATV/Snowmobile Automotive Parts Automotive Services Automotive Supplies A/V Equipment & Supplies A/V Services Baseball Equipment Baseball Uniforms Basketball Equipment Basketball Uniforms Bleachers Boat Motors Boats Broadcasting Equipment Broadcasting Services Building Materials Buildings Busing Cabinets Carpet Carpet Installation Cellular Phones Centrifuges Change Machines Communication/Radio Equipment Communication Services Computer Maintenance Computer Peripherals Computer Programming Computer Software Computer Supplies Computers - PC's Computers - Other Concession Construction Equipment Construction Services Consulting Services Copier Maintenance Copiers Curtains, Theatre Decals Dental Equipment & Supplies Doors & Hardware Doors, Overhead Drafting Equipment Drafting Services Draperies Electrical Equipment Electrical Services Electrical Supplies Electronic Parts Electostatic Painting Elevator Maintenance Elevators Engineering Services Engraving/Etching Services Entertainment Supplies Envelopes Environmental Testing Exercise/Fitness Equipment Farm Equipment Feed Fencing Fertilizer Fiber Optic Equip & Supplies Field Hockey Equipment Financial Services Fire Safety Financial Services Floor Mats Floor Repair Flooring Folding Machines Food Service Football Equipment Football Uniforms Footwear Forklift Trucks Forms, Printed Freezers Freight Fuel, Gasoline Fuel, Heating Fume Hoods Furniture, Dorm Furniture, Office Furniture, Lab Furniture Refinishing Gas, Compressed Glass Generators Graduation Apparel & Supplies Gym Equipment & Supplies Hazardous Waste Services Hearing Equipment Heavy Equipment Rental Hockey Equipment & Supplies HVAC Equipment HVAC Services HVAC Supplies Hydraulics Ice Arena Equipment Ice Machines ID Cards Incubators Inks/Chemicals Instructional Services Insulation Services Insulation Supplies Insurance, Student Interior Design Services Janitorial Equipment Janitorial Services Janitorial Supplies Jewelry Labels Laminating Equipment Landscape Contractors Landscape Services Laundry Equipment Laundry Services Legal Services Library Equipment Licensing Lifting Equipment Lighting Linens/Textiles Line Painting Lockers Locksmith Supplies Lumber/Wood Mail Services Mailing Machine Equipment Maps/Mapping Material Handling Equipment Mattresses Medical Equipment & Supplies Microfiche Microwave Equipment Moving & Storage Mowing Equipment Music Oscilloscopes (See Test & Measure) Office Equipment Office Supplies Oil Tanks Optical Paint Paint Contractors Paper Paper Products/Janitorial Paving Contractors Pesticide Control Services Pesticides Photographic Equipment & Supplies Plants Plowing Plumbing Equipment & Supplies Printing Services Printing Supplies Radio Services Recreational Equipment Recycling Services Refrigeration Supplies Refrigerators Refrigerators, Commercial Rings Road Salt & Sand Roofing Contractors Safes/Vaults Sand/Gravel Scientific Equipment Scientific Supplies Seating Security Alarm Services Security Services Seeds Sheet Metal Shelving, Industrial Shelving, Other Shipping Signs/Signage Snow Removal Equipment Snow Removal Services Soccer Equipment & Supplies Softball Equipment & Supplies Sprinkler Systems Storage Surveying Instruments Swimming Equipment & Supplies Swimming Pool Equipment Sweeping, Road Telecommunication Equip & Supp Temporary Labor Services Tennis Equipment & Supplies Test & Measurement Equipment Theatrical Equipment Tickets, Printed Time Clocks Tires Toner Track Equipment & Supplies Traffic Paint Trailers Travel Agency Services Trophies Typewriter Maintenance Uniform Rental Vacuum Equipment, Lab Valves & Fittings Vehicles Vehicles - Leased Vending Machines Vending Services Veterinary Equipment & Supplies Volleyball Equipment & Supplies Water Systems, Lab Weather Instruments Welding Services & Supplies Windows Window Coverings Wire and Cable X-Ray
3rd Choice : Please Choose From Look Up Table Accounting Services Acoustical Screens ADA Equipment Advertising Air Conditioning Anti-Freeze Apparel & Footware (Non-Sport) Appliances Architectural Services Art Equipment & Supplies Asbestos Mgmt Services Athletic Equipment (General) Athletic Training Equip & Supplies ATM Machine ATV/Snowmobile Automotive Parts Automotive Services Automotive Supplies A/V Equipment & Supplies A/V Services Baseball Equipment Baseball Uniforms Basketball Equipment Basketball Uniforms Bleachers Boat Motors Boats Broadcasting Equipment Broadcasting Services Building Materials Buildings Busing Cabinets Carpet Carpet Installation Cellular Phones Centrifuges Change Machines Communication/Radio Equipment Communication Services Computer Maintenance Computer Peripherals Computer Programming Computer Software Computer Supplies Computers - PC's Computers - Other Concession Construction Equipment Construction Services Consulting Services Copier Maintenance Copiers Curtains, Theatre Decals Dental Equipment & Supplies Doors & Hardware Doors, Overhead Drafting Equipment Drafting Services Draperies Electrical Equipment Electrical Services Electrical Supplies Electronic Parts Electostatic Painting Elevator Maintenance Elevators Engineering Services Engraving/Etching Services Entertainment Supplies Envelopes Environmental Testing Exercise/Fitness Equipment Farm Equipment Feed Fencing Fertilizer Fiber Optic Equip & Supplies Field Hockey Equipment Financial Services Fire Safety Financial Services Floor Mats Floor Repair Flooring Folding Machines Food Service Football Equipment Football Uniforms Footwear Forklift Trucks Forms, Printed Freezers Freight Fuel, Gasoline Fuel, Heating Fume Hoods Furniture, Dorm Furniture, Office Furniture, Lab Furniture Refinishing Gas, Compressed Glass Generators Graduation Apparel & Supplies Gym Equipment & Supplies Hazardous Waste Services Hearing Equipment Heavy Equipment Rental Hockey Equipment & Supplies HVAC Equipment HVAC Services HVAC Supplies Hydraulics Ice Arena Equipment Ice Machines ID Cards Incubators Inks/Chemicals Instructional Services Insulation Services Insulation Supplies Insurance, Student Interior Design Services Janitorial Equipment Janitorial Services Janitorial Supplies Jewelry Labels Laminating Equipment Landscape Contractors Landscape Services Laundry Equipment Laundry Services Legal Services Library Equipment Licensing Lifting Equipment Lighting Linens/Textiles Line Painting Lockers Locksmith Supplies Lumber/Wood Mail Services Mailing Machine Equipment Maps/Mapping Material Handling Equipment Mattresses Medical Equipment & Supplies Microfiche Microwave Equipment Moving & Storage Mowing Equipment Music Oscilloscopes (See Test & Measure) Office Equipment Office Supplies Oil Tanks Optical Paint Paint Contractors Paper Paper Products/Janitorial Paving Contractors Pesticide Control Services Pesticides Photographic Equipment & Supplies Plants Plowing Plumbing Equipment & Supplies Printing Services Printing Supplies Radio Services Recreational Equipment Recycling Services Refrigeration Supplies Refrigerators Refrigerators, Commercial Rings Road Salt & Sand Roofing Contractors Safes/Vaults Sand/Gravel Scientific Equipment Scientific Supplies Seating Security Alarm Services Security Services Seeds Sheet Metal Shelving, Industrial Shelving, Other Shipping Signs/Signage Snow Removal Equipment Snow Removal Services Soccer Equipment & Supplies Softball Equipment & Supplies Sprinkler Systems Storage Surveying Instruments Swimming Equipment & Supplies Swimming Pool Equipment Sweeping, Road Telecommunication Equip & Supp Temporary Labor Services Tennis Equipment & Supplies Test & Measurement Equipment Theatrical Equipment Tickets, Printed Time Clocks Tires Toner Track Equipment & Supplies Traffic Paint Trailers Travel Agency Services Trophies Typewriter Maintenance Uniform Rental Vacuum Equipment, Lab Valves & Fittings Vehicles Vehicles - Leased Vending Machines Vending Services Veterinary Equipment & Supplies Volleyball Equipment & Supplies Water Systems, Lab Weather Instruments Welding Services & Supplies Windows Window Coverings Wire and Cable X-Ray
Business Type : Manufacturer Retailer Certified Maine Retailer Wholesaler Service Consulting Construction Other
Organization Type : Association Corporation Individual Joint Venture Partnership Other
Ethnicity : Asian African American Caucasian Hispanic American American Indian/Alaskan Native Other Ethnic Group
Business Ownership : Licensed Contractor, Minority Licensed Contractor, Woman Licensed Contractor, Small Licensed Contractor, Min. Woman Licensed Contractor Minority Owned Nonprofit Government Entity Small Business Woman Owned Woman Owned, Minority Other
Do you agree to, and understand, all of the conditions, laws, and regulations required for bidding? Yes No
By submitting this application, I do hereby solemnly swear or affirm that the information given above is current and true to the best of my knowledge and is in no way misleading. Furthermore, should any data change in the future, I will ensure that correct information will immediately be submitted to the University of Maine Purchasing Department. I also hereby certify that no officer, owner, or employee having a substantial part of capital interest in the above named firm is also an official or employee of any budget unit of the University of Maine. I agree to furnish any and all materials and supplies in strict accordance with all conditions imposed.
Created April 10, 1996 // Last Modified August 9, 2004
The University of Maine , Orono, Maine 04469 207-581-1110 A Member of the University of Maine System