SC1040 (01/29/2013) e Page 1 of 6
SUPPLIER / CONTRACTOR
APPLICATION
P.O. Box 2946101
Moncks Corner, SC 29461-6101
Procurement: (843) 761-4077
Minority/Women-Owned Business Enterprises
Certification
(Your business is certified by a local, regional or federal certifying agency.)
Minority-Owned
Women-Owned
Definition: Your business must be 51% owned by one or more
minority/women U.S. citizens. In the case of any publicly
owned business, at least 51% of the stock must be owned
by one or more of such individuals. Forward minority
certificate with application.
Yes No
Yes No
Yes No
Please enter your Federal ID No or SS No where applicable.
Company Name:
Date Business Started:
Geographic Service Area:
Annual Sales:
Approx. No. of Personnel:
Federal ID No.:
Social Security No.
Contact Name:
Phone No.:
Fax No.:
Email:
Street Address:
City:
State: Zip:
Thank you for your interest in providing goods and services to South Carolina Public Service Authority (Santee
Cooper). Please complete, sign and return your application to the address below. Santee Cooper will review your
application and determine if you/your company should be added to the Santee Cooper supplier database. You will
be notified of our decision.
ACCEPTANCE OF YOUR APPLICATION DOES NOT GUARANTEE THAT YOU/YOUR COMPANY WILL BE ASKED TO
SUBMIT ANY BID(S) OR PROPOSAL(S).
It is your responsibility to provide accurate information in your application and update it as necessary.
If you have any questions, please feel free to contact Santee Cooper Procurement at (843) 761-4077.
Incomplete applications will not be accepted (*must include the W-9 Form with application).
Print, sign and return all forms to:
Santee Cooper Procurement
Fax: (843) 761-7003
Scan & Email: procurement@santeecooper.com
Mail Address: P.O. Box 2946101
Moncks Corner, SC 29461-6101
* Please complete a W-9 form using the following
link: (Required for supplier qualification to be
considered.)
Complete Category list on the next page.
The undersigned officer, principal or owner agrees to inform
Santee Cooper immediately of any changes to the information
contained herein, particularly changes in ownership, controlling
interest, or operations.
Signature (Officer, Principal or Owner)
Print Name
Title
Date
W-9 Form
SC1040 (01/29/2013) e Page 2 of 6
Computer Supplies
Computer Software Maint.
(Not paper)
Computer Software Maint.
(includes upgrades)
(Bug fixes only)
Computer Software
Computer Hardware/Equipment
Computer Hardware/Equipment Maint.
Dredging
Electrical Contractors
Expansion Joints, Installation
Fencing
Foundations, Drilled Pier
HVAC
Labor/Skilled Craft
Landscaping
Gas Pipeline Construction, Maint. or Repair
Labor/Industrial Cleaning
Dock Building
Distribution Line Construction
Damper Repair
Clearing & Grading
Communications and Networks
Plumbing Contractors
Railroad Repairs
Refractory
Roofing
Septic Tank Installation/Repair
Substation Construction
(Turnkey) General Contractors
Transmission Line Construction
Specialties/Tennis Court
Telephone Line Construction
Underground Transmission Line Const.
Paving/Asphalt
Painting (Residential)
Painting
Masonry Contractors
Metal Building & Building
Supplier/Contractor Profile - Category
You can select up to ten categories that apply to the products and/or services that your company may provide.
Coated and Compounds
Granular Bulk
Other/Specialities
V Belts
Conveyor Belts
Belt & Conveyor Belt Parts
EMT and Fittings
Flexible and Fittings
Liquid Tite and Fittings
PVC and Fittings
Rigid and Fittings
Boats/Motors/Trailers
Parts & Accessories
Hydraulic (Oil) and Parts
Hydraulic (Water) and Parts
Pneumatic and Parts
Motor and Parts
Manual
(Not direct acting handwheels
and parts)
Building Materials
Crane/Elevator Parts
Package
Heaters and Parts
Plumbing Fixtures & Accessories
Misc. Building Equip
(Ice machines, refrig.,
etc.)
(Not elsewhere classified)
(A/C and parts)
Landscaping Supplies, Plants
Building Wire
Control
Instrumentation
Communication
Other/Specialties
Power
(Romex, etc.)
Agricultural
Aquacultural
Industrial
Insecticides/Herbicides
Clothing/Uniforms
(Fertilizer)
Control Units and Parts
Accessories
Body Parts
Electrical Systems
Engine/Motor Systems
PTO Systems
Tires & Tubes
Parts/Speciality Items
Chassis Systems
Body Parts
Drive Train Systems
(Including truck bodies)
Microwave Systems
Other
Paging Systems
Air
Gas
Parts
Air System Items
Dryers, Moisture Separators
Telephone Systems
Fiber Optic Systems
Plant Computer Systems
Radio Systems
SCADA Systems
(Journal type, bushings,
etc.)
(Pillowblk, flanged,
take-up, etc.)
Caulking/Sealing Compounds
Filled Plastic
Other
Glues
Tapes
Tapes
(Insulating Dielectric)
(Sealing/Bonding)
Cable/Wire Rope
Chain and Parts
Rope
Rigging Accessories
Slings/Choker
(Fiber)
Trees
Accessories
Chargers, Automotive
Batteries, Non Automotive
Chargers, Non Automotive
Batteries, Automotive
Roller Contact
Sliding Contact
Bearing Assemblies
Parts
Thrust Bearings
Parts & Speciality Items
Novelties/Souvenirs
Trophies
Automobiles
Trucks
Company Name:
Abrasives -1800
Belts - 6100
Computer Technology - 9500
Conduit - 2800
Contracting/Construction - 9000
Acutators - 6000
Building & Structures - 8000
Boats/Motors/Trailers - 9400
Adhesives & Sealants - 1900
Advertisement Items - 0500
Automobiles & Small Trucks - 9300
Automotive - 1400
Batteries & Chargers - 2000
Bearings - 2100
Compressors - 6200
Dryers, Moisture Separators - 8600
Communications - 2600
Clothing/Uniforms - 1700
Chemicals - 2400
Cable (Electrical) - 2700
Cable, Chain, Rope, Slings,
& Rigging - 2300
SC1040 (01/29/2013) e Page 3 of 6
Supplier/Contractor Profile - Category
Company Name:
Limestone Preparation System
Arresters
Breakers
Capacitors
Regulators
Relay Panels Accessories and Parts
Electrical Supplies
(Includes
Ball Mills)
Circuit Boards
Electrical Parts - Control Switches, Timers
Electronic Parts - Resistors, Capacitors,etc.
Environmental Control - 8100
Electronic Test Equipment - 9600
Dust Suppression System
Electronic Test Equipment
Environmental Monitoring
Precipitator System (Electrical)
Ventilating, Parts
Bolts
Nuts
Washers/Spacers
Screws
Anchors/Studs
Rivets
Nails
Fasteners - 3100
Air
Bulk Filter Media
Fluid (Other than Oil)
Oil
Ventilation
Other
Parts
Filters, Strainers and Screens - 6400
Other
Speciality, Parts
Pressurization, Parts
Portable Blowers, Parts & Accessories
Draft and Primary Air, Parts
Precipitator System (Mechanical)
Scrubber System
Vacuum Filter System
Waste Stabilization System
Power Supplies (24VDC, 100VDC, etc)
Programmable Controllers
Signal Processor Unit and Parts
Elect Equip (T & D) - 0100
Electrical/Electronic (I & C) - 7000
Electrical Supplies
- 9700
(Not Elsewhere Identified)
Fans and Blowers - 6300
Equipment
Supplies
Other/Specialties
Fish Hatchery - 0900
Food and Drink
Dining Room Supplies
Kitchen Equipment
Food & Dining Euipment/Supplies - 2200
Car Dump/Shaker
Coal Crushers/Samplers
Stacker/Relcaimer
Redler Conveyor/Tripper System
Coal Feeder
Coal Handling General (Not classified elsewhere)
Fuel Oil Storage
Gasoline
Additives
Diesel
Fuels/Additives - 3200
Bulk Hydrogen
Bulk Propane/Butane
Inert (Non-Welding/Cutting Gases)
Refrigerants
Specialties
Welding/Cutting/Soldering
Cutout (T&D)
High (Greater than 600 Volts)
Low Voltage (135 Volts or less)
Medium Voltage (Above 135 thru 600)
Parts
Regulator (T&D)
Substation Related (T&D)
Bracing, Mounting & Accessories
Fittings, Current Carrying
Fittings, Non Current Carrying
Ground
Guying Specialties
Pole Accessories
Other
Substation Structures
Transmission Structures
Hardware - General
Fuses/Non Automotive - 3300
Fuel Handling - 8200
Hardware (T & D) - 0700
Gases - 3500
Accessories (Blades, Buckets, Teeth, Etc.)
Body Parts
Chassis Systems
Cranes/Bulldozers/Excavators/Etc.
Heavy Equipment - 1600
Hardware - General - 4200
Drive Train Systems
Electrical Systems
Engine/Motor Systems
Material Handling & Mining, Etc.
Parts
PTO Systems
Specialty Parts & Safety Items
Track or Undercarriage
Farm Equipment (Tractors, Plows, Discs,Etc)
Forklifts
Insulation Compounds & Putties
Protective Sheathing
Refractories
Thermal Barriers (Pipe)
Thermal Barriers (Others)
Bushings and Accessories
Pedestal and Post
Pin
Spool and Service
Strain and Standofff
Suspension
Insulators - 0200
Fuel Testing Equipment
Wet Chemistry Equipment
Equipment & Supplies
Repair
Technical
Lab Equipment - 3800
Fixtures
Lamps Only
Photo Cells
Parts
Lamps - 3900
Mowers (Self Propelled)
Tractors
ATVs/Golf Carts
Material Handling
Fork Lifts
Mini Excavators, Skid Steer Loaders
Trenchers, Directional Boring
Trailers (Light Duty)
Street/Floor Sweepers, Scrubbers
Air Compressors
Light Equipment (160 HP or Less) - 2900
Cleaning Aids & Accessories (Brooms, Mops,
Dusters)
Cleaning Chemicals
Dust Down/Oil Dry
Personal Hygiene Products
Rags/Wipes
Janitorial/Sanitation - 3700
Trucks (Tractors/Buckets/Etc.)
Trailers/Heavy Duty
Insulation - 6500
SC1040 (01/29/2013) e Page 4 of 6
Company Name:
Brakes all Types Applications (Non-Automotive)
Architects & Engineers
Business/Financial
Environmental
Gas Pipeline Operations
Information Technology
Interior Design
Legal
Medical
Personnel
Property Appraisal
Technical
Training & Development
Chemical Pump Parts
Oil Pump Parts
Boiler Feed Parts
Slurry Pump Parts
Hydraulic Parts
Pumps and Pump Parts - 6800
Vacuum Pump Parts
Sanitary Lift Station Parts
Water Pump Parts (Non-Automotive)
Submersible Sump Parts
Fuel Pump Parts
Agitators/Mixers & Parts (Generic)
Pump Assemblies (Complete)
Car Accessories and Parts
Railcars
Track Related
Fire Protection
First Aid Supplies
Personal Protection
Signs
Belt Scales and Parts
Fixed Scales & Parts (Other than Laboratory)
Safety Products and Supplies - 5000
(Includes Signs)
Railroad-Not Hauling or Contracting - 5700
Scales
(Not Laboratory) - 7400
Books, Periodicals, Etc.
Video, Audio, Etc.
Training Guides, Etc.
Newspapers
Publications and Media - 4300
Supplier/Contractor Profile - Category
Gaskets
O Rings
Packing
Electrical, AC and Parts
Electrical, DC and Parts
Counters and Parts
Temperature and Parts
Recorders/Plotters and Parts
Vibration Monitoring Equipment & Parts
Items Not Listed Above
Flow and Parts
Level and Parts
Pressure and Parts
Meters, Gauges, Etc. - 7100
Cement/Concrete
Dirt/Fill Material
FLBC
Rip Rap
ROC
Granite
Limestone
DSM Limestone
Drafting Equipment & Supplies
Equipment (Copiers, Fax)
Equipment (Audio Visual)
Furniture
Office Equip, Supplies & Furniture - 4400
Sand
Surge Stone
Other/Specialty (DSM Limestone)
Minerals (Stone/Roc/Sand/Etc.) - 1200
Seals Oil/Grease
Seals (Mechanical)
Seals (Other)
Sheet Rubber
Joint, Expansion, Pipe
Joint, Expansion, Flue Duct
Revenue/Commercial Meters
Revenue/Residential Meters
Revenue/Electronic Meters
Revenue Plant/Substation Meters
Accessories
Hubs
Sockets
Meters (T & D) - 0400
Computer Paper
Instrument/Charts, Etc.
Office, Plain
Office, Printed
Office, Blueprint
Paint (All Finishes)
Solvents
Supplies
Film and Supplies
Equipment
Photographic Services
Film Developing
Standard Pipe and Fittings
Lined Pipe and Fittings
Specialty Pipe and Fittings
Hose and Fittings
Boiler Tubing and Accessories
Non-Metallic Tubing and Fittings
Heat Exchanger Tubes/Tubing & Fittings
Motor Control Centers
Power Transformers - (Plant Related, Not T&D)
Parts
Power Distribution (>440 volts) - 7300
Couplings
Clutches & Accessories - (Non-Automotive)
Gears and Boxes - (Speed Changers)
Conveyor & Accessories
Power Transmission - 6700
Grease Fittings & Miscellaneous
Instrumentation Tubing and Fittings
Rod
Sheet
Tube
Plastic - 0300
Composite
Concrete
Steel (Not Hardware T & D Struct)
Poles, Non Wood - 7500
Sprockets and Drive Chain
Pulleys/Sheaves
Paint/Solvents and Supplies - 4600
Electric Motor/AC and Parts
Electric Motor/DC and Parts
Generators (Non-Turbine) & Parts
Motor/Generators, Elec - 7200
(Non Automotive)
Containers
Packaging
Storage Equipment
Packing/Containers - 4500
(Shipping & Storage)
Air Driven and Parts
Combustion (Diesel) and Parts
Combustion (Gas) and Parts
Motor/Generators & Engines - 6900
(Non Automotive)
Packing, Gaskets, Seals & O Rings - 6600
Professional/Consultant Services - 9200
Photographic Requirements - 3600
Pipe, Tubing, Hose and Fittings - 4800
Paper Products - 4700
Specialties
Synthetic
Petroleum Base
Lubricants - 4000
Structure/Plate (H, T, Angles, I, Etc.)
Specialty
Bar, Round and Shapes
Metal Stock - 4100
Parts
Equipment Repair & Maintenance
Supplies (Not Paper)
SC1040 (01/29/2013) e Page 5 of 6
Special Tools (Unique to Equipment)
Shop Equipment and Accessories
Hoist/Lifting and Jacking Devices
Pile Driving, Jack Hammers, Etc.
Line Tools (Unique)
Parts
Hauling (Stone/Dirt/Etc.)
Trucking/Local
Trucking/Motor Freight
Trucking/Heavy Hauling
Railroad
Transportation/Hauling - 9800
Barge/Boat
Air Freight
Hydro Turbine/Generator
Valves - 4900
Relief and Safety
Solenoid and Parts
Specialty
Parts
High Pressure Temperature
Water Systems - 8500
Welding, Brazing, Soldering Supplies -5200
Weather Monitoring Equipment - 2500
Circulating (Fire Water)
Feed Water Sytstems
Feed Water Treatment Sytstems
WOG 300 PSI and Below
Steam Turbine/Generator
IC Turbine/Generator
Potable Water Systems
Waste Water Treatment
Weather Monitoring Equipment
Welding Rod and Filler Metals
Supplies and Accessories
Tools and Equipment
Parts (Not Tool Related)
Turbine & Turbine Generators - 8400
Current Transformers and Parts
Distribution Transformers and Parts (Overhead)
Distribution Transformers and Parts (Padmount)
Power Transformers and Parts
Station Service Transformers and Parts
Voltage Transformers and Parts
Transformers (T & D) - 1000
Supplier/Contractor Profile - Category
Boiler Condition Assessment
Boilder Tube/Header Work
Building Repairs
Coal Pile Flyover
Condenser Retubing
Cooling Towers
Crane & Lifting Equipment Inspection
Cathodic Protection
Chemical Cleaning
Coal Conveyor Belt (Repair/Install)
Diving Services
Eddy Current Testing
Elevator Repairs
Heat Treatment
Hydraulic Servovalve Repairs
Environmental Surveys
Explosive Cleaning
Exterminating/Pest Control
General Maintenance & Repair
Mechanical Seal Repair
Medical Testing/Services (not Doctors/Nurses)
Right of Way Reclearing/Danger Tree Cutting
Safety Valve Inspection & Cleaning (VR Certs)
Sandblasting/Blast Cleaning
Scaffolding
SCR Cleaning
Security Monitoring
Security Services
Precipitator Repairs
Pressure Wash Oil Tanks
Metal Fabricators
Motor Repairs, Electric
Non Destructive Testing
Rigging, Crane Operation & Erection
Right of Way Clearing
Pressure Wash/Vacuum
Pump Repair/Generation
Rental Equipment and Tools
Hydro Unit Repairs/Rewinds
Indoor Plant Maintenance
Insulation/Asbestos
Stacker Reclaimer Belt Installation
Surveying Services
Temporary Services
Timber Cruise
Tool Repairs
Travel Agency
Tree Trimming/Distribution
Turbine Diaphragm Partition Repairs
Turbine Bucket Repair/Replacement
Turbine or Generator Realted
Valve Parts & Repair
Vegetation Control
Advertising Agencies
Aerial Services
Aquatic Weed Control
Automotive & Equip., Maintenance Repair
Bearing Repair, Thrust & Journal
Belt Scale Service
Bial Testing
Services - 9100
Accessories
Body Parts
Chassis Systems
Drive Train Systems
Electrical Systems
Waste Management
Water Analysis
Wear Resistant Material Fabrication
Well Drilling
Engine/Motor Systems
PTO Systems
Parts
Disposal Fees
Restocking Fees
Special Handling Fees
Deposit Fees
Boiler Structure & Accessories
Burners & Accessories
Fuel Preparation System (Mills, Pulverizer, etc)
Ash Systems
Breaching & Dampers (includes Expansion
Joints)
Regulating (Back Pressure/Flow Regulating
and Reducing)
Distribution Switches and Parts
Substation Switches and Parts
Transmission Switches and Parts
Other
Tanks - 8700
Fuel
Water
Chemical
Other/Specialty
Switches (T & D) - 7300
Pneumatic (Air)
Hand (Manual)
Gas and Propane Powered
Electric, Non Welding
Tools - 5100
Steam Generation (Boiler) - 8300
Accessories/Supplies
Equipment
Marking Devices
Survey Equipment/Supplies - 1300
Tool Accessories
Janitorial
Laundry
Leak Sealing
Signs
Silo Cleaning
Stack Repairs
Locksmith
Low Speed Balancing, Turbine Rotors
Machine Work
Company Name:
Specialty Fees - 0800
Small Engine/Motor - 1500
SC1040 (01/29/2013) e Page 6 of 6
Supplier/Contractor Profile - Category
Connectors and Terminals
Terminal/Fuse Blocks
Bare Copper
Guy
Insulated Aluminum
Insulated Copper
Wire Markers/Tie Raps
Shrink Tubing
Bare Aluminum
Insulated Cooper/Aluminum
Shield
Cable Trench and Accesories
Load Demand Devices
Boxes and Enclosures
Switches, Receptacles, Plugs, Etc.
Wire/Cable Tray and Accessories
Lumber
Poles
Crossarm
Wire and Cable Accessories - 5400
Wire and Conductor - 1100
Wiring Devices - 5500
Wood Products - 5600
Braces
Lumber, Dimensional
Lumber, Sheet
Company Name: