supplier / contractor p.o. box 2946101 moncks corner, sc ... · hoist/lifting and jacking devices....
TRANSCRIPT
SC1040 (01/29/2013) e Page 1 of 6
SUPPLIER / CONTRACTOR APPLICATION
P.O. Box 2946101 Moncks Corner, SC 29461-6101
Procurement: (843) 761-4077
Minority/Women-Owned Business Enterprises
Certification
(Your business is certified by a local, regional or federal certifying agency.)
Minority-Owned
Women-Owned
Definition: Your business must be 51% owned by one or more minority/women U.S. citizens. In the case of any publicly owned business, at least 51% of the stock must be owned by one or more of such individuals. Forward minority certificate with application.
Yes No
Yes No
Yes No
Please enter your Federal ID No or SS No where applicable.
Company Name:
Date Business Started:
Geographic Service Area:
Annual Sales:
Approx. No. of Personnel:
Federal ID No.:
Social Security No.
Contact Name:
Phone No.:
Fax No.:
Email:
Street Address:
City:
State: Zip:
Thank you for your interest in providing goods and services to South Carolina Public Service Authority (Santee Cooper). Please complete, sign and return your application to the address below. Santee Cooper will review your application and determine if you/your company should be added to the Santee Cooper supplier database. You will be notified of our decision. ACCEPTANCE OF YOUR APPLICATION DOES NOT GUARANTEE THAT YOU/YOUR COMPANY WILL BE ASKED TO SUBMIT ANY BID(S) OR PROPOSAL(S). It is your responsibility to provide accurate information in your application and update it as necessary. If you have any questions, please feel free to contact Santee Cooper Procurement at (843) 761-4077.
Incomplete applications will not be accepted (*must include the W-9 Form with application).
Print, sign and return all forms to: Santee Cooper Procurement
Fax: (843) 761-7003 Scan & Email: [email protected] Mail Address: P.O. Box 2946101 Moncks Corner, SC 29461-6101
* Please complete a W-9 form using the following link: (Required for supplier qualification to be considered.)
Complete Category list on the next page.
The undersigned officer, principal or owner agrees to inform Santee Cooper immediately of any changes to the information contained herein, particularly changes in ownership, controlling interest, or operations.
Signature (Officer, Principal or Owner)
Print Name
Title
Date
SC1040 (01/29/2013) e Page 2 of 6
Computer Supplies
Computer Software Maint.
(Not paper)
Computer Software Maint.
(includes upgrades)
(Bug fixes only)
Computer Software
Computer Hardware/EquipmentComputer Hardware/Equipment Maint.
DredgingElectrical ContractorsExpansion Joints, InstallationFencingFoundations, Drilled Pier
HVAC
Labor/Skilled CraftLandscaping
Gas Pipeline Construction, Maint. or Repair
Labor/Industrial Cleaning
Dock BuildingDistribution Line Construction
Damper Repair
Clearing & GradingCommunications and Networks
Plumbing ContractorsRailroad RepairsRefractoryRoofingSeptic Tank Installation/Repair
Substation Construction
(Turnkey) General ContractorsTransmission Line Construction
Specialties/Tennis Court
Telephone Line Construction
Underground Transmission Line Const.
Paving/AsphaltPainting (Residential)
Painting
Masonry ContractorsMetal Building & Building
Supplier/Contractor Profile - CategoryYou can select up to ten categories that apply to the products and/or services that your company may provide.
Coated and CompoundsGranular BulkOther/Specialities
V Belts
Conveyor BeltsBelt & Conveyor Belt Parts
EMT and FittingsFlexible and FittingsLiquid Tite and FittingsPVC and FittingsRigid and Fittings
Boats/Motors/Trailers
Parts & Accessories
Hydraulic (Oil) and Parts
Hydraulic (Water) and Parts
Pneumatic and PartsMotor and Parts
Manual (Not direct acting handwheels and parts)
Building Materials
Crane/Elevator Parts
PackageHeaters and Parts
Plumbing Fixtures & AccessoriesMisc. Building Equip (Ice machines, refrig.,
etc.)
(Not elsewhere classified)
(A/C and parts)
Landscaping Supplies, Plants
Building Wire
Control
InstrumentationCommunication
Other/SpecialtiesPower
(Romex, etc.)
Agricultural
AquaculturalIndustrialInsecticides/Herbicides
Clothing/Uniforms
(Fertilizer)
Control Units and Parts
Accessories
Body Parts
Electrical SystemsEngine/Motor Systems
PTO Systems
Tires & Tubes
Parts/Speciality Items
Chassis SystemsBody Parts
Drive Train Systems
(Including truck bodies)
Microwave Systems
OtherPaging Systems
Air
GasParts
Air System Items
Dryers, Moisture Separators
Telephone SystemsFiber Optic Systems
Plant Computer Systems
Radio Systems
SCADA Systems
(Journal type, bushings, etc.)
(Pillowblk, flanged, take-up, etc.)
Caulking/Sealing Compounds
Filled Plastic
OtherGlues
TapesTapes
(Insulating Dielectric)
(Sealing/Bonding)Cable/Wire RopeChain and Parts
RopeRigging Accessories
Slings/Choker(Fiber)
Trees
Accessories
Chargers, Automotive
Batteries, Non AutomotiveChargers, Non Automotive
Batteries, Automotive
Roller Contact
Sliding Contact
Bearing Assemblies
Parts
Thrust Bearings
Parts & Speciality Items
Novelties/Souvenirs
Trophies
Automobiles
Trucks
Company Name:
Abrasives -1800 Belts - 6100 Computer Technology - 9500
Conduit - 2800
Contracting/Construction - 9000
Acutators - 6000
Building & Structures - 8000
Boats/Motors/Trailers - 9400
Adhesives & Sealants - 1900
Advertisement Items - 0500
Automobiles & Small Trucks - 9300
Automotive - 1400
Batteries & Chargers - 2000
Bearings - 2100
Compressors - 6200
Dryers, Moisture Separators - 8600
Communications - 2600
Clothing/Uniforms - 1700
Chemicals - 2400
Cable (Electrical) - 2700
Cable, Chain, Rope, Slings, & Rigging - 2300
SC1040 (01/29/2013) e Page 3 of 6
Supplier/Contractor Profile - Category Company Name:
Limestone Preparation System
ArrestersBreakersCapacitorsRegulatorsRelay Panels Accessories and Parts
Electrical Supplies
(Includes Ball Mills)
Circuit BoardsElectrical Parts - Control Switches, Timers
Electronic Parts - Resistors, Capacitors,etc.
Environmental Control - 8100
Electronic Test Equipment - 9600
Dust Suppression System
Electronic Test Equipment
Environmental Monitoring
Precipitator System (Electrical)
Ventilating, Parts
Bolts
Nuts
Washers/Spacers
Screws
Anchors/Studs
Rivets
Nails
Fasteners - 3100
Air
Bulk Filter Media
Fluid (Other than Oil)
Oil
Ventilation
Other
Parts
Filters, Strainers and Screens - 6400
Other
Speciality, Parts
Pressurization, Parts
Portable Blowers, Parts & Accessories
Draft and Primary Air, Parts
Precipitator System (Mechanical)
Scrubber System
Vacuum Filter System
Waste Stabilization System
Power Supplies (24VDC, 100VDC, etc)
Programmable Controllers
Signal Processor Unit and Parts
Elect Equip (T & D) - 0100
Electrical/Electronic (I & C) - 7000
Electrical Supplies - 9700 (Not Elsewhere Identified)
Fans and Blowers - 6300
Equipment
Supplies Other/Specialties
Fish Hatchery - 0900
Food and Drink
Dining Room Supplies Kitchen Equipment
Food & Dining Euipment/Supplies - 2200
Car Dump/ShakerCoal Crushers/SamplersStacker/RelcaimerRedler Conveyor/Tripper SystemCoal FeederCoal Handling General (Not classified elsewhere)
Fuel Oil Storage
GasolineAdditivesDiesel
Fuels/Additives - 3200
Bulk HydrogenBulk Propane/ButaneInert (Non-Welding/Cutting Gases)
RefrigerantsSpecialtiesWelding/Cutting/Soldering
Cutout (T&D)
High (Greater than 600 Volts)
Low Voltage (135 Volts or less)
Medium Voltage (Above 135 thru 600)
PartsRegulator (T&D)
Substation Related (T&D)
Bracing, Mounting & AccessoriesFittings, Current CarryingFittings, Non Current CarryingGroundGuying SpecialtiesPole AccessoriesOtherSubstation StructuresTransmission Structures
Hardware - General
Fuses/Non Automotive - 3300
Fuel Handling - 8200
Hardware (T & D) - 0700
Gases - 3500
Accessories (Blades, Buckets, Teeth, Etc.)
Body PartsChassis SystemsCranes/Bulldozers/Excavators/Etc.
Heavy Equipment - 1600
Hardware - General - 4200
Drive Train Systems
Electrical SystemsEngine/Motor Systems
Material Handling & Mining, Etc.PartsPTO SystemsSpecialty Parts & Safety Items
Track or Undercarriage
Farm Equipment (Tractors, Plows, Discs,Etc)
Forklifts
Insulation Compounds & PuttiesProtective SheathingRefractoriesThermal Barriers (Pipe)
Thermal Barriers (Others)
Bushings and AccessoriesPedestal and PostPinSpool and ServiceStrain and StandofffSuspension
Insulators - 0200
Fuel Testing EquipmentWet Chemistry EquipmentEquipment & SuppliesRepairTechnical
Lab Equipment - 3800
FixturesLamps OnlyPhoto CellsParts
Lamps - 3900
Mowers (Self Propelled)TractorsATVs/Golf CartsMaterial HandlingFork LiftsMini Excavators, Skid Steer LoadersTrenchers, Directional BoringTrailers (Light Duty)
Street/Floor Sweepers, ScrubbersAir Compressors
Light Equipment (160 HP or Less) - 2900
Cleaning Aids & Accessories (Brooms, Mops, Dusters)Cleaning ChemicalsDust Down/Oil DryPersonal Hygiene ProductsRags/Wipes
Janitorial/Sanitation - 3700
Trucks (Tractors/Buckets/Etc.)
Trailers/Heavy Duty
Insulation - 6500
SC1040 (01/29/2013) e Page 4 of 6
Company Name:
Brakes all Types Applications (Non-Automotive)
Architects & EngineersBusiness/FinancialEnvironmentalGas Pipeline OperationsInformation TechnologyInterior DesignLegalMedicalPersonnelProperty AppraisalTechnicalTraining & Development
Chemical Pump PartsOil Pump PartsBoiler Feed PartsSlurry Pump PartsHydraulic Parts
Pumps and Pump Parts - 6800
Vacuum Pump PartsSanitary Lift Station PartsWater Pump Parts (Non-Automotive)
Submersible Sump PartsFuel Pump PartsAgitators/Mixers & Parts (Generic)
Pump Assemblies (Complete)
Car Accessories and PartsRailcarsTrack Related
Fire ProtectionFirst Aid SuppliesPersonal ProtectionSigns
Belt Scales and PartsFixed Scales & Parts (Other than Laboratory)
Safety Products and Supplies - 5000 (Includes Signs)
Railroad-Not Hauling or Contracting - 5700
Scales (Not Laboratory) - 7400
Books, Periodicals, Etc.Video, Audio, Etc.Training Guides, Etc.Newspapers
Publications and Media - 4300
Supplier/Contractor Profile - Category
GasketsO RingsPacking
Electrical, AC and PartsElectrical, DC and Parts
Counters and Parts
Temperature and Parts
Recorders/Plotters and Parts
Vibration Monitoring Equipment & Parts
Items Not Listed Above
Flow and Parts
Level and Parts
Pressure and Parts
Meters, Gauges, Etc. - 7100
Cement/ConcreteDirt/Fill Material
FLBC
Rip Rap
ROC
Granite
Limestone
DSM Limestone
Drafting Equipment & Supplies
Equipment (Copiers, Fax)
Equipment (Audio Visual)
Furniture
Office Equip, Supplies & Furniture - 4400
Sand
Surge StoneOther/Specialty (DSM Limestone)
Minerals (Stone/Roc/Sand/Etc.) - 1200
Seals Oil/GreaseSeals (Mechanical)Seals (Other)Sheet Rubber
Joint, Expansion, PipeJoint, Expansion, Flue Duct
Revenue/Commercial MetersRevenue/Residential MetersRevenue/Electronic MetersRevenue Plant/Substation MetersAccessoriesHubsSockets
Meters (T & D) - 0400
Computer PaperInstrument/Charts, Etc.Office, PlainOffice, PrintedOffice, Blueprint
Paint (All Finishes)
SolventsSupplies
Film and SuppliesEquipmentPhotographic ServicesFilm Developing
Standard Pipe and FittingsLined Pipe and FittingsSpecialty Pipe and FittingsHose and Fittings
Boiler Tubing and AccessoriesNon-Metallic Tubing and FittingsHeat Exchanger Tubes/Tubing & Fittings
Motor Control Centers
Power Transformers - (Plant Related, Not T&D)
Parts
Power Distribution (>440 volts) - 7300
Couplings
Clutches & Accessories - (Non-Automotive)
Gears and Boxes - (Speed Changers)
Conveyor & Accessories
Power Transmission - 6700
Grease Fittings & Miscellaneous
Instrumentation Tubing and Fittings
RodSheetTube
Plastic - 0300
CompositeConcreteSteel (Not Hardware T & D Struct)
Poles, Non Wood - 7500
Sprockets and Drive Chain
Pulleys/Sheaves
Paint/Solvents and Supplies - 4600
Electric Motor/AC and Parts
Electric Motor/DC and Parts
Generators (Non-Turbine) & Parts
Motor/Generators, Elec - 7200 (Non Automotive)
Containers
Packaging
Storage Equipment
Packing/Containers - 4500 (Shipping & Storage)
Air Driven and Parts
Combustion (Diesel) and Parts
Combustion (Gas) and Parts
Motor/Generators & Engines - 6900 (Non Automotive)
Packing, Gaskets, Seals & O Rings - 6600
Professional/Consultant Services - 9200
Photographic Requirements - 3600
Pipe, Tubing, Hose and Fittings - 4800
Paper Products - 4700
SpecialtiesSyntheticPetroleum Base
Lubricants - 4000
Structure/Plate (H, T, Angles, I, Etc.)
SpecialtyBar, Round and Shapes
Metal Stock - 4100
Parts
Equipment Repair & MaintenanceSupplies (Not Paper)
SC1040 (01/29/2013) e Page 5 of 6
Special Tools (Unique to Equipment)
Shop Equipment and AccessoriesHoist/Lifting and Jacking DevicesPile Driving, Jack Hammers, Etc.Line Tools (Unique)
Parts
Hauling (Stone/Dirt/Etc.)
Trucking/LocalTrucking/Motor FreightTrucking/Heavy HaulingRailroad
Transportation/Hauling - 9800
Barge/BoatAir Freight
Hydro Turbine/Generator
Valves - 4900
Relief and SafetySolenoid and PartsSpecialty Parts
High Pressure Temperature
Water Systems - 8500
Welding, Brazing, Soldering Supplies -5200
Weather Monitoring Equipment - 2500
Circulating (Fire Water)
Feed Water SytstemsFeed Water Treatment Sytstems
WOG 300 PSI and Below
Steam Turbine/GeneratorIC Turbine/Generator
Potable Water SystemsWaste Water Treatment
Weather Monitoring Equipment
Welding Rod and Filler MetalsSupplies and AccessoriesTools and EquipmentParts (Not Tool Related)
Turbine & Turbine Generators - 8400
Current Transformers and PartsDistribution Transformers and Parts (Overhead)
Distribution Transformers and Parts (Padmount)
Power Transformers and PartsStation Service Transformers and PartsVoltage Transformers and Parts
Transformers (T & D) - 1000
Supplier/Contractor Profile - Category
Boiler Condition AssessmentBoilder Tube/Header WorkBuilding Repairs
Coal Pile FlyoverCondenser RetubingCooling TowersCrane & Lifting Equipment Inspection
Cathodic ProtectionChemical CleaningCoal Conveyor Belt (Repair/Install)
Diving ServicesEddy Current TestingElevator Repairs
Heat TreatmentHydraulic Servovalve Repairs
Environmental SurveysExplosive CleaningExterminating/Pest ControlGeneral Maintenance & Repair
Mechanical Seal RepairMedical Testing/Services (not Doctors/Nurses)
Right of Way Reclearing/Danger Tree CuttingSafety Valve Inspection & Cleaning (VR Certs)
Sandblasting/Blast CleaningScaffoldingSCR CleaningSecurity MonitoringSecurity Services
Precipitator RepairsPressure Wash Oil Tanks
Metal FabricatorsMotor Repairs, ElectricNon Destructive Testing
Rigging, Crane Operation & ErectionRight of Way Clearing
Pressure Wash/VacuumPump Repair/GenerationRental Equipment and Tools
Hydro Unit Repairs/RewindsIndoor Plant MaintenanceInsulation/Asbestos
Stacker Reclaimer Belt Installation
Surveying ServicesTemporary ServicesTimber CruiseTool RepairsTravel AgencyTree Trimming/Distribution
Turbine Diaphragm Partition Repairs
Turbine Bucket Repair/Replacement
Turbine or Generator RealtedValve Parts & Repair
Vegetation Control
Advertising AgenciesAerial ServicesAquatic Weed ControlAutomotive & Equip., Maintenance RepairBearing Repair, Thrust & JournalBelt Scale ServiceBial Testing
Services - 9100
AccessoriesBody PartsChassis SystemsDrive Train SystemsElectrical Systems
Waste ManagementWater AnalysisWear Resistant Material FabricationWell Drilling
Engine/Motor SystemsPTO SystemsParts
Disposal FeesRestocking FeesSpecial Handling FeesDeposit Fees
Boiler Structure & AccessoriesBurners & Accessories
Fuel Preparation System (Mills, Pulverizer, etc)
Ash Systems
Breaching & Dampers (includes Expansion Joints)
Regulating (Back Pressure/Flow Regulating and Reducing)
Distribution Switches and PartsSubstation Switches and PartsTransmission Switches and PartsOther
Tanks - 8700FuelWaterChemicalOther/Specialty
Switches (T & D) - 7300
Pneumatic (Air)
Hand (Manual)
Gas and Propane Powered
Electric, Non Welding
Tools - 5100
Steam Generation (Boiler) - 8300
Accessories/SuppliesEquipmentMarking Devices
Survey Equipment/Supplies - 1300
Tool Accessories
JanitorialLaundryLeak Sealing
SignsSilo CleaningStack Repairs
LocksmithLow Speed Balancing, Turbine RotorsMachine Work
Company Name:
Specialty Fees - 0800
Small Engine/Motor - 1500
SC1040 (01/29/2013) e Page 6 of 6
Supplier/Contractor Profile - Category
Connectors and Terminals
Terminal/Fuse Blocks
Bare Copper
Guy
Insulated Aluminum
Insulated Copper
Wire Markers/Tie Raps
Shrink Tubing
Bare Aluminum
Insulated Cooper/Aluminum
Shield
Cable Trench and Accesories
Load Demand Devices
Boxes and Enclosures
Switches, Receptacles, Plugs, Etc.
Wire/Cable Tray and Accessories
Lumber
PolesCrossarm
Wire and Cable Accessories - 5400
Wire and Conductor - 1100
Wiring Devices - 5500
Wood Products - 5600
Braces
Lumber, Dimensional
Lumber, Sheet
Company Name: