Supplier Number definition

Supplier Number. Enter each DVBE firm’s supplier/certification number. Total Contracted Amount to DVBE: Enter the entire amount contracted to each DVBE. Total Payment Amount to DVBE: Enter the total about paid to all DVBE firms that performed an element of work for this contract Variance: The system will compute the variance of DVBE firms dollars contracted compared to dollars paid Prime Contractor’s Signature: Prime Contractor’s printed name, signature, and date DEPARTMENT ONLY INSTRUCTIONS The following items need to be filled out by the department prior to E-MAILING the form to the Prime Contractor. The awarding department’s completion of this information prior to issuing this form to prime contractors ensures that all DVBE subcontractor activities are reported for DVBE firms resulting in the award. Contract Number: Enter the Contract Number Prime Contractor: Enter the Prime Contractor’s name as shown on the contract Department: Enter the state department/entity name. Date Contract Completed: Enter the date contracted work was completed. Contract Award Amount: Enter the total dollar amount paid to the Prime Contractor for this contract including all financial amendments. DVBE Subcontractor(s) Name: Enter the name of all DVBE firms that are listed to perform an element of work or supplies for this contract and any formal approved substitution(s)*. Use the next tab for additional lines on the form. *All DVBE substitutions must be approved by the Office of Small Business & DVBE Services, effective (MVC § 999.5(e)). DVBE Subcontractor(s) Address: Enter the address of each DVBE firm.

Split View

AI-Powered Contracts

Draft, Review & Redline at the Speed of AI

Get StartedSchedule a Demo

Supplier Number. Enter each DVBE firm’s supplier/certification number. Total Contracted Amount to DVBE: Enter the entire amount contracted to each DVBE. (Rev. April 2014)

Supplier Number. NPI: Enrollment Attached? Yes No Submit Claims Receive Electronic Remittances CSI Please return this form to: Palmetto GBA Jurisdiction C EDI, AG-420 ▇▇ ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇ Multiple Providers List

Examples of Supplier Number in a sentence

• Recommended by: City Supplier Number: [Supplier Number] Approved as to Form: ▇▇▇▇▇▇ ▇.

• Recommended by: City Supplier Number: [Supplier number] Approved as to Form: ▇▇▇▇▇▇ ▇.

• Date: Lr Grand Canal St., Dublin 2 E-mail : ▇▇▇▇@▇▇▇▇.▇▇▇.▇▇ DETAILS OF SUPPLIER Supplier Number : Name of supplier: .……...………………………………………….…….

• The following minimum data is required: - Order Number / Blanket Order Number; - Delivery Note Number; - MDP Part Number; - Quantity; - Name of Supplier/ Supplier Number; - Batch Number; - Shelf life / Expiry Date.

• Date: ………………….…… Lr Grand Canal St., Dublin 2 E-mail : ▇▇▇▇@▇▇▇▇.▇▇▇.▇▇ DETAILS OF SUPPLIER Supplier Number : Name of supplier: .……...………………………………………….…….

• Lr Grand Canal St., Dublin 2 E-mail : ▇▇▇▇@▇▇▇▇.▇▇▇.▇▇ DETAILS OF SUPPLIER Supplier Number : Name of supplier: .……...………………………………………….…….

• A copy of Supplier’s current Certificate of Insurance with the following requirements must be submitted with this Agreement: ● Certificate Holder should read: WAL−MART STORES, INC., ITS SUBSIDIARIES & ITS AFFILIATES, ▇▇▇ ▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇−0145, Attn: Risk Management ● Renewals of Certificates of Insurance must be submitted prior to expiration of insurance coverage ● Existing Suppliers must include Supplier Number on Certificate of Insurance.

• A copy of Supplier’s current Certificate of Insurance with the following requirements must be submitted with this Agreement: • Certificate Holder should read: WAL–MART STORES, INC., ITS SUBSIDIARIES & ITS AFFILIATES, ▇▇▇ ▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇, Attn: Risk Management • Renewals of Certificates of Insurance must be submitted prior to expiration of insurance coverage • Existing Suppliers must include Supplier Number on Certificate of Insurance.

• City Supplier Number: 0000009230 Name: ▇▇▇▇ ▇▇▇▇▇▇ Title: Director ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇.

• Full Name of Service Provider (as Legally Registered) Czech University of Life Sciences Prague (CZU) FAO Supplier Number (if known) 385698 Other Trading Name(s) of Service Provider (if applicable) NA Address Line ▇ ▇▇▇▇▇▇▇ ▇▇▇, ▇▇▇ ▇▇ ▇▇▇▇▇▇-▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ Address Line 2 NA Address Line 3 NA City Prague Postal Code 165 00 State Czechia Country Czechia Email Address xxxxx Website ▇▇▇.▇▇▇.▇▇ Telephone Number (incl.

More Definitions of Supplier Number

Supplier Number. NPI: Enrollment Attached? Yes No Submit Claims Receive Electronic Remittances CSI

Supplier Number. Expedite Orders: Phone: Extension #: 2073212337 Attention: J▇▇▇▇ ▇▇▇▇▇▇▇▇▇ PRICING TICKETS: Address: 1▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Supplier Name: FACTOR NUTRITION LABS City/State/Zip: P▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Attention: J▇▇▇▇ ▇▇▇▇▇▇▇▇▇ Accounting Phone Number: 2073212337 Extension #: 0 Address: 1▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Toll Free Number: Fax Number: 2▇▇▇▇▇▇▇▇▇ City/State/Zip: P▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Has Supplier or any related entity previously conducted business with Company? Yes No X If so, under what name(s)?

Supplier Number. 231602–90–0 Effective Date: 05/13/2013