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2. 
4. Business Name *
6. Eligible Location (physical location/address)*
8. Eligible location must have a majority of full-time employees, chief officers and managers regularly conducting work and business from this location.

   Eligible locations within the Town of Lexington must have held a valid town business license for at least three consecutive years prior to application for the registry. Eligible locations outside of the Town of Lexington must have been maintained for at least three consecutive years.

10. Please indicate below the highest preference for which your Eligible office qualifies based upon location:*

    1. Within Lexington County but outside of Lexington town limits, 5% preference credit not to exceed $12,000.
    2. Within Fairfield County, Newberry County, Kershaw County or Richland County, 4% preference credit not to exceed $8,000.
    3. Within South Carolina but not in any jurisdiction noted above, 2% preference credit not to exceed $3,750.
    4. Within Lexington town limits, 7% preference credit not to exceed $15,000.
12. Please indicate Town of Lexington Business License Number: *
16. Please provide complete contact information for the individual responsible for this application:
18. Name*
19. Title*
21. Street Address*
22. City *
23. Zip Code*
25. Contact Phone Number*
26. Office Phone Number*
27. Email Address*
29. Link to Website

31. I understand that inclusion on the Local Vendor Preference Registry is voluntary and not a guarantee of obtaining contracts with the Town of Lexington or with contractors proposing Town of Lexington projects. I understand that contracts with the Town of Lexington are awarded in compliance with local, state, and federal law as applicable. I acknowledge that a valid Certificate of Insurance, IRS Form W-9, and all proper licensing will be required to contract with the Town of Lexington. I further acknowledge responsibility for and accuracy of all information contained in this application and I agree to update the application as needed to keep the information accurate. I understand that failure to provide accurate information may result in removal from the registry, cancelation of contracts, voiding of proposals, and other penalties as may be applicable. I understand that inclusion on the registry will involve public disclosure of information contained herein and I agree to such disclosure by the Town of Lexington. I hereby also certify eligibility for the preference credits indicated above in compliance with the Town of Lexington Local Vendor Preference Ordinance.

33. Name*
34. Title *
36. Date*
40. Product and Service Category Identification *

    Indicate all that apply. 

    1. Accounting services
    2. Architectural & engineering services
    3. Art work & picture framing
    4. Asphalt products & services
    5. Audio visual, video, media & electronics equip
    6. Automobile, truck & vehicle sales
    7. Automobile, truck & vehicle repair & maintenance
    8. Automotive glass & commercial glass
    9. Automotive parts
    10. Automatic sprinklers
    11. Automotive & heavy duty parts
    12. Bearings, power transmission
    13. Biochemical equipment flow meters
    14. Biosolids/sludge disposal & lab analysis
    15. Boots & shoes
    16. Building supplies
    17. Business equipment & machines
    18. Business forms, & printed products
    19. Calibration & maintenance of water plants
    20. Cameras
    21. Catering
    22. Carpet cleaning
    23. Chemical analyzers
    24. Chemicals and cleaners
    25. Codification of ordinances, legal review
    26. Coffee
    27. Communications equipment
    28. Compressors
    29. Computers-hardware/ software/service
    30. Concrete
    31. Construction
    32. Construction residential rehab & remodeling
    33. Construction equipment
    34. Construction, water/sewer utilities
    35. Copiers, fax
    36. Decals, signs, bumper stickers
    37. Demolition, abatement & grading
    38. Displays & exhibits
    39. Dump trucks
    40. Electrical equipment
    41. Electrical sales / service
    42. Electronics
    43. Elevator maintenance & repairs
    44. EMS supplies & equipment
    45. Engineering supplies, survey equipment
    46. Environmental testing
    47. Equipment and tools repairs and service
    48. Feed & seed
    49. Fingerprint & crime scene supplies
    50. Fire systems, extinguishers
    51. First aid & safety products
    52. Flags, banners, flagpoles, decorations, awards
    53. Floor Covering
    54. Florist, flowers
    55. Forensics
    56. Forestry equipment, supplies & products
    57. Framing
    58. Fruit baskets and plants
    59. Grading
    60. Gutters
    61. Hardware, tools
    62. HVAC installation & service
    63. Industrial equipment
    64. Insurance
    65. Irrigation/water features supplies and service
    66. Janitorial supplies
    67. Landscaping, plants, garden supplies
    68. Legal services
    69. Medical services / supplies
    70. Motor & pump sales & service
    71. Office furniture / supplies / equipment
    72. Oil & greases
    73. Paper/party supplies
    74. Park, playground, athletic equipment
    75. Pavement marking
    76. Plumbing
    77. Police equipment, uniforms, fire & industrial
    78. Promotional items (logo, shirts, etc.)
    79. Refreshments
    80. Safety equipment / traffic signs
    81. Solid waste & environmental services
    82. Street sweeper, parts & brooms, vacuum leaf loaders
    83. Traffic control, incl. signs, cones, barricades, hardware
    84. Tree service
    85. Waste disposal liners
    86. Wastewater supplies, chemicals, flow meters
    87. Well repairs and service
42. Other (Please supply):
44. By submitting this application you have given permission to have this information shared with our online database*

    1. Yes
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit Submit and Print

* indicates a required field