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Vendor Registration Form
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The City of North Miami Procurement Code describes the rules and regulations used in the operation of the Purchasing Department and is available for review online on the
Prohibition on Use of Expanded Polystyrene and Single-Use Plastic Beverage Straws
Pursuant to Section 7-201 of the Procurement Code, City contractors and special event permittees shall not sell, use, provide in, or offer the use of expanded polystyrene food service articles or single-use plastic beverage straws in City facilities or on City properties. City contractors shall not sell or use expanded polystyrene or single-use plastic beverage straws within the City or while completing their duties to the City under contract. A violation of this section shall be deemed a default under the terms of the City contract, lease or concession agreement and is grounds for revocation of a special event permit. This section shall not apply to expanded polystyrene food service articles or single-use plastic beverage straws used for prepackaged food that have been filled and sealed prior to receipt by the City contractor or special event permittee.
Contact Person Name
Contact Person Title
Contact Phone Number
Alternate Phone Number
Remit to Address
Indicate which method(s) you prefer to have purchase orders delivered
Local Vendor Minority Business Survey
The City of North Miami tracks the status of local and minority businesses. Please check the box(es) below to indicate the applicable status of your business:
African American Owned Business
Asian American Owned Business
Hispanic American Owned Business
Local North Miami Business
Native American Owned Business
Small Business Enterprise
Woman Owned Business
Indicate what types of services your company provides by providing the respective commodity codes. Please refer to the
listing available on the Purchasing Department website.
Vendor Disclosure - Have any of the Owners or Officers of the Vendor seeking registration been an employee of the City of North Miami within the last two (2) years:
Yes - Provide explanation
Yes - Provide explanation
Authorized Company Representative
Provide the following information for a company representative who is authorized to sign bids, offers, and contracts:
Local Government Prompt Payment Act
Payments made by City of North Miami are governed by the Local Government Prompt Payment Act (
Sections 218.70 through 218.80 of the Florida Statutes
) and in accordance with the City’s policies and procedures.
The Internal Revenue Service (IRS) requires that the City have on file a completed W-9 for all vendors. Please complete the
IRS W-9 Form
and submit it to the City along with this Vendor Registration Form.
Submit a completed IRS form.
The vendor submitting this Vendor Registration form acknowledges that they have read and agree to abide by the City of North Miami (City)
and have also reviewed the
City’s Vendor Guide
. The vendor further acknowledges that no conflict of interest exists nor will any conflict of interest be created by becoming a registered vendor and/or contracting with the City.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
Authorized Representative Name (Print)
Authorized Representative Title
If you have any questions filling out this form please
email the Purchasing Department
or call at 305-895-9886.
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