Supplier Application - ITR Concession Co. LLC.

Suppliers are required to apply all sales taxes applicable to the state of Indiana. This application does not constitute an agreement to do business.
Company Info
Company Name*
Corporate Address*
Street Address Address Line 2 City State ZIP Code
Main Contact Name*
First Last
Main Contact Phone*
Main Contact Email*
Do you want to be setup with a user name and password in order to participate in bid events?*
- Yes
- No
Does your company have an address different than the corporate address that needs to be shown on purchase orders or contracts?
- Yes
- No
Sales Contact Name*
First Last
Sales Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Sales Phone*
Sales Contact Email*
Does your company have an address different than the corporate address for payment remittance?
- Yes
- No
A/R Contact Name*
First Last
A/R Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
A/R Phone*
A/R Contact Email*
Is your company located in a "Hubzone"?
- No
- Yes
Is your Company a Certified Woman, Minority, Veteran Small Business or Disadvantaged Business? If Yes to any, please attach a copy of your certificate.*
Check all that apply.
- No
- IDOA WBE
- IDOA MBE
- IDOA IVOSB
- INDOT DBE
- Other State DBE
- National DBE
Certificate Upload*
Please upload a copy of all certificated indicated in the previous question.
Drop files here or

Accepted file types: jpg, jpeg, pdf, gif, png, Max. file size: 256 MB, Max. files: 6.
Do you offer Net45 payment terms?*
- Yes
- No
If no, what terms do you offer?*
Do you offer early-pay discounts?*
- Yes
- No
Does your company accept payment by Mastercard credit card?*
- No
- Yes
- Yes, but there is a fee
Additional Documents*
Please upload your completed W9 or W8 and any other pertinent documents (W/MBE certification, line card, ACH payment instructions, location listing).
Drop files here or

Accepted file types: jpg, jpeg, pdf, gif, png, Max. file size: 256 MB.
Which best describes your supply/service area regarding the Toll Road?*
- Local to my city only
- From IL border to Elkhart
- From Elkhart to OH border
- All of road
Choose all services/product categories that apply to your company*
- Accounting and auditing
- Additives
- Adhesives and sealants
- Advertising
- Aggregates
- Air cargo transport
- Asphalts
- Asset recovery service
- Batteries and cells and accessories
- Bolted structural assemblies
- Bridge construction and repair service
- Bridge Painting Service
- Bridge rail
- Building Maintenance and Repair Service
- Building site preparation services
- Business and corporate management consultation services
- Business facilities oversight
- Carpentry
- Civil engineering
- Cleaning and janitorial services
- Cleaning and janitorial supplies
- Clothing
- Coating and caulking and weather and water and fireproofing
- Commercial and office building renovation and repair service
- Commercial or industrial construction
- Community and social services
- Computer Equipment and Accessories
- Computer Hardware maintenance and support
- Computer hardware rental or leasing services
- Computer services
- Concrete and cement and plaster
- Concrete reinforcement hardware
- Concrete work
- Construction and Maintenance support equipment
- Construction machinery and equipment rental or leasing services
- Corporate finance
- Data services
- Decontamination services
- Demolition services
- Dirt and soil
- Disaster preparedness and relief
- Disaster recovery services
- Document scanning service
- Drilling and exploration equipment
- Education and Training Services
- Electrical equipment and components and supplies
- Electrical services
- Electrical wire and cable and harness
- Energy conservation
- Environmental control systems
- Environmental Services
- Exterior finishing materials
- Exterior lighting and fixtures
- Fabricated structural assemblies
- Facilities management
- Facility maintenance and repair services
- Fencing
- Finishing materials and products
- Fuel tanks and systems
- Fuels and Fuel Additives and Lubricants and Anti corrosive Materials
- Furniture and Furnishings
- General building construction
- Grinding and polishing and smoothing materials
- Hand tools
- Hardware
- Hazardous waste disposal
- Health programs
- Healthcare centers
- Healthcare Services
- Heating and ventilation and air circulation
- Heating system maintenance and repair service
- Heavy construction machinery and equipment
- Heavy construction services
- Herbicides
- Highway and road construction services
- Highway and road maintenance service
- Highway and road paving service
- Highway and road sign or guardrail construction and repair service
- Highway engineering
- Highway reflector installation service
- Human resource development
- Human resources services
- Hydraulic machinery and equipment
- Industrial buildings and structures
- Industrial management
- Industrial use gases
- Information retrieval systems
- Information services
- Information technology service
- Inspection
- Insulation
- Insurance and retirement services
- Insurance services for structures and property and possessions
- Interior finishing
- Interior finishing materials
- Interior lighting and fixtures
- International trade
- Internet services
- Janitorial equipment
- Laboratory and Measuring and Observing and Testing Equipment
- Lamps and lightbulbs and lamp components
- Land and soil management
- Land and soil preparation
- Laundering services
- Lease and rental of property or building
- Legal compliance certification service
- Legal services
- Life and health and accident insurance
- Lighting and fixtures and accessories
- Mailing services
- Mailing supplies
- Management advisory services
- Management information systems MIS
- Marine cargo transport
- Market research
- Marketing and distribution
- Material packing and handling
- Mechanical engineering
- Mining services
- Mobile communications services
- Motor vehicles
- News and publicity services
- Nonhazardous waste disposal
- Office Equipment and Accessories and Supplies
- Office equipment rental or leasing services
- Office supplies
- Oil spill cleanup
- On line data processing
- Packaging materials
- Painted or coated exterior flooring services
- Paints and primers and finishes
- Pallets
- Panel and paint services
- Paper products
- Parking facility construction and equipment installation and maintenance and repair services
- Passenger road transportation
- Permanent structures
- Permitting services
- Personal safety and protection
- Personnel recruitment
- Pest control
- Photographic services
- Pipe piping and pipe fittings
- Plants and ornamental trees
- Plumbing construction services
- Postal and small parcel and courier services
- Power generators
- Printing
- Professional engineering services
- Project management
- Public administration and finance services
- Public relations and professional communications services
- Pump parts and accessories
- Pumps
- Quality control
- Recycling services
- Refuse collection and disposal
- Restaurants and catering
- Road and railroad construction materials
- Road cargo transport
- Roads and landscape
- Roadway or highway lighting
- Roofing materials
- Safety apparel
- Safety footwear
- Sales and business promotion activities
- Sampling services
- Scrap and waste materials
- Security surveillance and detection
- Siding and exterior wall materials
- Software
- Software maintenance and support
- Software or hardware engineering
- Storage
- Structural building products
- Structural exterior cleaning services
- Structural materials and basic shapes
- Supply chain management
- Tanks and cylinders and their accessories
- Telecommunications media services
- Temporary personnel services
- Tires and tire tubes
- Toxic and hazardous waste cleanup
- Trade shows and exhibits
- Traffic control
- Transportation engineering
- Transportation related equipment and instruments
- Transportation repair or maintenance services
- Transportation services equipment
- Travel agents
- Uniforms
- Utilities
- Vehicle Maintenance and Repair Services
- Warehousing equipment and supplies
- Water resources development and oversight
- Well testing services
- Wood
Comments
This field is for validation purposes and should be left unchanged.

Company Info