BIDDER’S APPLICATION Maryland Department of Transportation Maryland Aviation Administration Purchasing Section P. O. Box 8766 BWI Airport, Maryland 21240 (410) 859-7001 1. Business Name and Address to which bid requests are mailed: City Business Telephone: Fax Number Contact: State 2. Applicants Federal Employer Identification Number or Social Security Number if individual. Circle which Number is listed below. - Zip 4. Majority Ownership: At least 51% owned and Operated: [Check appropriate box(s)] 3. Is this business registered with the Maryland Department of Assessments and Taxation? Yes No 5. Is your firm certified as a Minority Business? Yes No Certification # Hispanic (Mexican, Puerto Rican, Cuban, or other Spanish culture) Pacific Islander 6. If your firm is not certified, have you applied for certification? Yes No 7. Is certification pending? Yes No American Indian, Eskimo, Aleut, or Asian American Black (Not of Hispanic origin) Female - (Contact MAA with results) Physically or Mentally Handicapped Other 8. Name, title, and phone number of Person (s) authorized to sign bids: 9. Certification: I hereby certify that the above information is a true and correct statement of the facts. I further certify that the undersigned shall abide by and be subject to all applicable Federal, State and Local laws and regulations pertaining to any subsequent contracts that may be issued. Signature Date Name and Title (Please Print) MAA USE ONLY Received: Vendor Table: MAA-271 R-09/04 Yes No Entered on vendor table: Date: INFORMATION AND INSTRUCTIONS Vendors and contractors providing goods and services to the State of Maryland shall abide by all applicable Federal, State and Local laws and the rules and regulations of the Purchasing Bureau; including the provisions of Title VII and the Civil Rights Act, the fair employment provisions of Article 49B of the Annotated Code of Maryland and the Governor's Code of Fair Practices. Vendors and contractors may not assign or transfer any interests in any contract issued by the State of Maryland without the written approval of the State. Businesses wishing to bid on materials, supplies, equipment or services to be purchased by the Maryland Aviation Administration must submit this properly completed Bidder's Application. In Section II, please indicate on which items you wish to provide quotes. Complete Section II as follows: 1. Refer to the attached classification index, which describes various purchases made by the Maryland Aviation Administration. Determine on which items you wish to bid. Note that each description is assigned a code number. 2. In Section II, Column A, write the code number that identifies the item. In Column B, you may be more explicit on the items on which you wish to bid. Please type or print clearly. 3. If the item on which you wish to bid is not listed, leave Column A blank and write a brief description in Column B. 4. Return the Bidder's Application to the Procurement Division, Maryland Aviation Administration, at the address shown on the front of the application. 5. Upon receipt of the Bidder's Application, the Maryland Aviation Administration will conduct a review. If you do not receive a request for further information, the application has been approved and processed. If additional information is needed, you will be notified in writing. SECTION II Column A Column B Code Number Applicant's Selection/Description of Items If space is insufficient, attach a continuation sheet. Continuation sheet must include Business Name, Address and Federal Identification or Social Security Number. MAA-271 R-09/04 COMMODITY CLASSIFICATION INDEX CLASS 005 010 015 025 031 035 045 055 065 070 075 080 105 110 135 145 150 155 190 195 200 205 210 225 230 265 270 280 285 305 310 315 320 330 335 340 350 360 365 395 405 420 425 430 440 445 450 460 465 475 485 515 540 545 550 560 570 575 CLASS Abrasives, Wheels, Sandpaper, etc. Acoustical Tile, Insulation, Insulating materials & Supplies Addressing & Copying Machine Supplies, Chemicals, Inks, etc. Air Compressors and Accessories Air Conditioning/Heating Equipment & Accessories Airport/Airplane Parts & Equipment Appliances & Equipment, Household Automobile & Truck Accessories Automobile & Truck Maintenance Items & Replacement Parts Automotive Major Transportation Equipment Automotive Shop Equipment & Supplies Badges, Buttons & Pins, Identification Bearings Belts, Power Transmission, V-Belts, etc. Bricks & Other Clay/Stone Products Brushes, Not otherwise classified Builder's Supplies Buildings, Fabricated Chemicals, Commercial, not otherwise classified Clocks, Time, Wall, Alarms, etc. Clothing, Uniforms & Apparel Computers, Data Processing Systems & Accessories (Except Ribbons/Class 610) Concrete Products & Supplies, Culverts Coolers, Water Crouse Hinds Runway Lighting Parts/Equip Draperies, Curtains & Upholstery Drugs, Pharmaceuticals & Biologicals Electrical Cables & Wires (Not electronic) Electrical Equipment & Supplies (Except Cable/Wire) Engineering & Surveying Equipment & Art Supplies Envelopes, Plain & Printed Epoxy Based Formulations Fastening Devices, Nuts, Bolts, Screws Fences & Supplies Fertilizers & Soil Conditioners Fire Protection Supplies Flags, Flag Poles, Banners & Access Floor Covering: Fabric & Molded, All Types Floor Maintenance Machines Forms, Continuous & Snap Out, NCR, etc. Gasoline, Fuel, Oil, Grease, etc. Furniture, Non-office Furniture, Office Gases, Medical, Welding and Equipment Glass & Glazing Supplies Hand Tools, Not otherwise classified Hardware, Shelf Hardware & Allied Items Hose, All Kinds (Except Automotive & Fire) Hospital & Medical Equipment Hospital & Medical Supplies Janitor Supplies Lawn Equipment & Supplies Lumber, Plywood, Pressboard, Sheetrock, etc Machinery, Power Tools & Heavy Hardware Markers, Plaques, Signs & Traffic Control Devices Materials Handling Equipment Metals, Angle, Bar, Rods & Tubing Microfilm, Microfilming Equipment/Supplies MAA-271 R-09/04 585 595 600 610 615 620 630 635 640 645 655 665 670 710 720 725 735 765 770 773 790 800 840 863 865 895 905 910 911 912 915 929 930 931 932 936 938 939 940 946 954 962 963 964 966 968 969 971 977 988 989 990 Nails & Wire Products (Except Wire Rope) Nursery Items (Plants, Shrubs, Trees) Office Machines, Equipment & Accessories Office Machine Ribbons, Printwheels, etc. Office Supplies, Not otherwise classified Office Supplies, Pens, Pencils, Erasers, Ink, etc. Paint, Varnishes, Paint Brushes/Rollers, etc. Paint Spraying Equipment & Accessories Paper & Plastic Products -Disposable Paper: For Office & Print Shop Use Photographic Equipment & Supplies Plastics, Sheets, Reinforced Plumbing Equipment, Fixtures & Supplies Promotional Items Pumps & Pump Accessories Radio & Telecommunications Equip/Access Rags, Wiping Cloths & Shop Towels Road & Highway Equipment & Supplies Roofing (Except Wood) Safety Equipment & Supplies (Except Welding) Seed, Soil, Sod, etc. Shoes & Boots Television Equip, VCR's & Accessories Tires & Tubes Twines & Ropes Welding Equipment, Supplies, Gases Aerial Photography, Surveys Building Repairs, Maintenance, Acoustical Ceiling Custodial Services, Window Washing, Etc. , Painting (Buildings) Advertising/Art Services, Graphics Photography Automotive/Equipment Maintenance & Repairs Automotive/Equipment Rentals, Leanings Appliance Maintenance & Repairs Furniture Maintenance & Repairs Air Conditioning Maintenance & Repairs Engineering Equipment Maintenance & Repairs Office Equipment Maintenance & Repairs Office Equipment Rentals Appraisal Services, Real Estate Floor Mat Rentals & Cleaning Alterations & Sewing Services Blue Printing Services Electricians, Plumbers, Roofers, etc. Printing, Letterhead, Forms, etc. Building Construction/Repairs/ Demolition Sign Fabrication & Installation Building Rental, Lease (Fabricated) Portable Toilet Rental Fencing Installations/Repairs Landscaping, Plant Care Armored Car Services