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    Conagra Prospective Supplier Form

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    rismal
    This document is a prospective supplier form for companies interested in becoming approved vendors for Conagra Brands. It requests basic company information, certifications, references, insurance coverage, and any awards received. The form states that submission does not guarantee business or approved vendor status, and Conagra will follow up at their discretion after reviewing submissions. Inquiries for products/services not currently sought will be kept on file for future consideration.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Conagra Prospective Supplier Form

    Uploaded by

    rismal
    87 views3 pages
    This document is a prospective supplier form for companies interested in becoming approved vendors for Conagra Brands. It requests basic company information, certifications, references, insurance coverage, and any awards received. The form states that submission does not guarantee business or approved vendor status, and Conagra will follow up at their discretion after reviewing submissions. Inquiries for products/services not currently sought will be kept on file for future consideration.

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    This document is a prospective supplier form for companies interested in becoming approved vendors for Conagra Brands. It requests basic company information, certifications, references, insurance coverage, and any awards received. The form states that submission does not guarantee business or approved vendor status, and Conagra will follow up at their discretion after reviewing submissions. Inquiries for products/services not currently sought will be kept on file for future consideration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    87 views3 pages

    Conagra Prospective Supplier Form

    Uploaded by

    rismal
    This document is a prospective supplier form for companies interested in becoming approved vendors for Conagra Brands. It requests basic company information, certifications, references, insurance coverage, and any awards received. The form states that submission does not guarantee business or approved vendor status, and Conagra will follow up at their discretion after reviewing submissions. Inquiries for products/services not currently sought will be kept on file for future consideration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    The form is asking prospective suppliers to provide company and contact information, certifications, services offered, and insurance coverage for informational purposes and future consideration by Conagra Brands.

    The form is asking for company name, address, contact details, annual sales, NAICS codes, services offered, certifications, geographic area served, and EDI capabilities.

    The company is listing its basic insurance requirements which include $1 million in commercial general liability, $1 million in worker's compensation, $1 million in commercial automobile liability, and $5 million in excess or umbrella liability.

    Prospective Supplier Form

    Submission of this form is for informational purposes and internal use only. It is not a guarantee of business and
    does not ensure Approved vendor status. You will be contacted at Conagra Brands discretion upon review
    of your submission. Inquiries providing products/services not currently sought will be maintained for future
    consideration. Thank you for your interest.

    COMPANY INFORMATION

    Company Name Contact Person

    CEO/Owner Name Contact Title

    Website Telephone

    Email

    HQ Address

    City/State

    Zip

    Mailing Address

    City/State

    Zip

    Year Established Tax ID

    # of Employees D&B# / Stock Symbol

    Gross Annual Sales for last 3 years ($X,XXX,XXX)

    Year Amount

    Year Amount

    Year Amount
    Legal Structure (make a selection) Public Private

    Are you bonded? Yes No

    Standard Industrial Classification (SIC) Codes

    North American Industry Classification System


    (NAICS) Codes

    Type of Business Category of Goods/Services

    If other

    Goods/Services Description

    Quality Assurance Certifications

    Immediate Geographic Service Area

    Please Specify

    EDI (Electronic Date Interchange) Capable? Yes No If yes, what version

    CERTIFICATIONS

    Disregard this section if you are not a minority or women-owned business.

    % Diversity Ownership If yes, provide certification


    expiration date (MM/YY)

    Minority Owned Business Enterprise (MBE)? Yes

    Women Owned Business Enterprise (WBE)? Yes

    Veteran Owned Business Enterprise (VOB)? Yes

    Service Disabled Veteran Owned Business (SDV)? Yes

    Lesbian, Gay, Bisexual, or Transgender Business Enterprise (LGBTE)? Yes

    Small Business (SB)? Yes

    Small Disadvantaged Business (SDB)? Yes

    HubZone Business? Yes

    Other Certification(s)
    REFERENCES (MAJOR CUSTOMERS)

    Company Name Contact Phone Spend with your Goods / Services Sold
    Organization

    INSURANCE

    Insurance Carrier

    The below limits represent Conagras basic insurance requirements. Conagra reserves the right to request increased
    limits and additional coverages based on the risk associated with the work to Conagras operations.

    Conagra Requirement Your Coverage ($X,XXX,XXX)

    Commercial General Liability

    Minimum Single Limit $1,000,000/occurrence

    Maximum Deductible $1,000,00/occurrence

    Commercial Automobile $1,000,000/occurrence

    Workers Compensation

    State Requirement N/A

    Employers Liability $1,000,000/occurrence

    Excess or Umbrella Liability $5,000,000/occurrence

    AWARDS RECEIVED

    Excellence / Recognition Awards


    Received

    Key Accounts / Bids Received

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