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Hotel
Rooms & Suites
Suites
Standard Queen
Standard King
Deluxe Queen
Deluxe King
Packages
Amenities
Rock Om®
Sound of Your Stay
Unleashed
Dining + Drinks
Restaurants
Fuel American Grill
Main + Abbey
Bars
Anthem
Lobby Bar
The Yards
Dining + Drink Specials
Casino
Slots
Table Games
Promotions
Sportsbook
Rock Star Rewards
Executive Casino Hosts
Events + Nightlife
Events List
Anthem
Battery Park
Event Policies/FAQ
Photo Gallery
Explore Sioux City
Downtown Partners
Tyson Events Center
Orpheum Theatre
Calendar
Shop
Careers
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»
Vendors
We’re Looking For Vendor Partners
It’s our commitment that 90% of the available goods and services we purchase will be from Iowa businesses and 30% of our purchases will be from diverse suppliers.
Step
1
of
7
14%
Welcome prospective Peninsula Pacific Entertainment vendor.
We are pleased you have decided to do business with us and we appreciate your interest in becoming our vendor, which includes becoming a vendor for the following entities: Colonial Downs Racetrack located in New Kent, Virginia; Rosie’s Gaming Emporiums located in various jurisdictions in Virginia; del Lago Resort & Casino, located in Tyre, New York; Hard Rock Hotel & Casino Sioux City, located in Sioux City, Iowa; and Legends Gaming located in Louisiana.
As an entity within the Gaming Industry, we are required by the Virginia, New York, Iowa and Louisiana Regulatory/Gaming Commissions to maintain specific information on all vendors that provide goods/services to Peninsula Pacific Entertainment and its affiliated entities. To ensure that your company and our company are in compliance with these requirements, the following completed documents are needed before any business can be conducted between your company and our company. To ensure that Peninsula Pacific Entertainment has the required information on file, the following documents need to be completed and returned by you:
1. Vendor Registration Form (Complete Form Below)
2.
Terms and Conditions
3.
Certificate of Insurance Requirements
4. Request for Taxpayer Identification Number and Certification (W-9)
Click here for a blank W-9 form.
The Vendor Registration Form, the
Terms and Conditions
, and the W-9 must be completed and signed by an owner or officer of your company. The certificate of insurance should be signed by an authorized signor of the insurance company.
For assistance with any part of this request, please email
[email protected]
Vendor Registration Form
Company Name
(Required)
Date
- must be mm/dd/yyyy format
(Required)
MM slash DD slash YYYY
Mailing Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Contact Person
(Required)
First
Last
Title
(Required)
Office Phone
(Required)
Cell Phone
(Required)
Email
(Required)
Website
- enter a valid website URL for example https://www.google.com
Company Federal Tax I.D. (Not your Social Security Number)
(Required)
Type of Business
(Required)
Corporation
LLC
Other
Other Type of Business
State of Incorporation
(Required)
Date of Incorporation
- must be mm/dd/yyyy format
(Required)
MM slash DD slash YYYY
Description of Business & Goods/Services Provided:
(Required)
Were you referred by someone?
(Required)
Yes
No
Who referred you? (Full name)
Referrer's Company
Please check what jurisdiction(s) you will be providing services in:
(Required)
Iowa
New York
Virginia
Louisiana
Other
Other Jurisdiction
IF YOU WILL BE PROVIDING SERVICES IN IOWA, PLEASE ANSWER THE FOLLOWING:
Does your company have an Iowa address or office?
Yes
No
If yes, please list address:
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Please check the category/categories in which your business falls:
Iowa Business
Out-of-State Business
Exempt Supplier
Non-exempt Supplier
Iowa Woman-Owned
Out-of-State Woman Owned
Individual with Disability
Iowa Minority-Owned
Out of State Minority-Owned
Service Disabled Veteran-Owned
Non-exempt Minority Owned
If your company is not licensed through IRGC as a manufacturer or distributor, your company may need to complete a vendor/vendor employee licenses application if anyone from your company will set up operations on site at our facility or perform duties on the gaming floor/applicable restricted area as follows: (1) Class O license (category 102): Vendor employee is doing valet, wardrobe, F&B, gift shop or other job that a facility employee would do with a Class O license. There may be instances that a Class O license is not required based on (3) below; (2) Class C License (category 216): Vendor employee is doing accounting work, gaming related, marketing, or a job that a facility employee would do with a Class C license; or (3) No Occupational License: The Vendor/Vendor employee license may not be required to be licensed if the contracted service is for "one-time" in non-gaming position, but in any event no longer than one week or twelve separate event occasions per year (such as accounting firm doing the annual audit, concerts, etc.) Additionally, no vendor license is required for contracted entertainers not employed by the licensee, a delivery company, a company installing, maintaining or repairing their product, those doing snow removal or landscaping, mechanical (HVAC), general contractor, flooring/painting contractor, electricians or plumber (as long as they are not on the payroll), or a restaurant or gift shop employee as long as the working location is not on the gaming floor or adjacent to the gaming floor or in a restricted area.
Further information can be found at
https://irgc.iowa.gov/licensing-information
IF YOU WILL BE PROVIDING SERVICES IN NEW YORK, PLEASE ANSWER THE FOLLOWING:
Is your business considered a New York business?
Yes
No
Is your business a New York State Certified MWBE?
Yes
No
File Number:
Certificate Date:
- must be mm/dd/yyyy format
MM slash DD slash YYYY
Is your business a New York State Certified SDVOB?
Yes
No
File Number:
Certificate Date:
- must be mm/dd/yyyy format
MM slash DD slash YYYY
You are eligible to participate in the NY First Supplier Program if one or more of the following apply: (Check all that apply)
Goods are manufactured in New York State.
Goods are distributed through a distributor located in New York State.
Goods are sold by a retailer/wholesaler located in New York State.
Resources are produced or processed in New York State.
Services are provided by a vendor whose headquarters/home office is in New York State.
Goods, resources or services are provided by a vendor whose headquarters/home office is located outside New York State but which has a tangible business location (not simply a post office box) and does business in New York State.
Services beyond sales operations are provided by employees who are based in New York State.
Not Applicable
If your company is a certified New York State MWBE or SDVOB, please submit your certification and check the category/categories in which your business falls:
Woman-Owned
African American
Native American
Small Business
Asian American
Veteran Disabled Owned
Hispanic American
Would rather not say
Not Applicable
Other
Other New York Certification
Your company and/or your employees may be required to be properly licensed with the New York State Gaming Commission (“NYSGC”) depending on the goods and/or services your establishment will be providing. Per the New York Commission (Division of Gaming) Rules and Regulations, entities may be required to obtain a casino vendor enterprise license and/or ancillary casino vendor enterprise license as set forth in § 5307, which may include the completion of a Casino Vendor Registration Form, a Temporary Service Provider Badge Application, and/or any additional application as requested by the NYSGC. Goods cannot be purchased nor can services begin until any required license is issued by the NYSGC or such requirement is otherwise waived.
IF YOU WILL BE PROVIDING SERVICES IN VIRGINIA, PLEASE ANSWER THE FOLLOWING:
Is your business considered a Virginia business?
Yes
No
You are eligible to participate in the Virginia First Supplier Program if one or more of the following apply: (Check all that apply)
Goods are manufactured in Virginia.
Goods are distributed through a distributor located in Virginia.
Goods are sold by a retailer/wholesaler located in Virginia.
Resources are produced or processed in Virginia.
Services are provided by a vendor whose headquarters/home office is in Virginia.
Goods, resources or services are provided by a vendor whose headquarters/home office is located outside Virginia, but which has a tangible business location (not simply a post office box) and does business in Virginia.
Services beyond sales operations are provided by employees who are based in Virginia.
Not Applicable
If your company is a certified Small, Woman-owned and/or Minority-owned Business, please submit your certification and check the category/categories in which your business falls
Woman-Owned
African American
Native American
Small Business
Asian American
Veteran Disabled Owned
Hispanic American
Would rather not say
Not Applicable
Other
Other Virginia Certification
INFORMATION REGARDING VENDOR LICENSING – PLEASE ANSWER THE FOLLOWING QUESTIONS IF YOU PLAN TO DO BUSINESS IN VIRGINIA
Will you or your employee(s) perform services on site at Colonial Downs Racetrack, a Rosie’s Gaming Emporium establishment or a partner VA-Horseplay OTB
AND
have access to:
A restricted/ secure area in which a Colonial Downs Group employee is UNABLE to accompany you/him/her to such area?
Yes
No
Money in the Cage, HHR Terminals, etc.?
Yes
No
Wagering systems or wagering-related technology?
Yes
No
IF YOU ANSWERED YES to any of the questions above,
you and/or any employee that will have such access, must be licensed by the Virginia Racing Commission (“VRC”). The vendor license application process is detailed in the “Frequently Asked Questions” fact sheet.
Click here to view.
Please ensure all applicable employee(s) performing applicable services apply for the license as soon as possible. Services cannot begin until the license is issued by the VRC.
IF YOU WILL BE PROVIDING SERVICES IN LOUISIANA, PLEASE ANSWER THE FOLLOWING:
Is your business considered a Louisiana business?
Yes
No
If your company is a certified Louisiana-owned, Woman-owned and/or Minority-owned Business, please submit your certification and check the category/categories in which your business falls:
Woman-Owned
African American
Native American
Louisiana-Owned
Asian American
Alaskan Native
Veteran Disabled Owned
Hispanic American
Not Applicable
Other
Other Louisiana Certification
Louisiana Revised Statute 27:29.2 provides that a person shall not supply, sell, lease, or repair or contract to supply, sell, lease, or repair gaming devices, equipment, and supplies unless they possess a valid gaming supplier permit as issued by the Louisiana Gaming Control Board. Louisiana Revised Statute 27:29.3 provides that non-gaming suppliers must have a permit or waiver issued from the Office of the State Police – Department of Public Safety & Corrections, if such supplier shall furnish services or goods and receive compensation or remuneration in excess of five hundred thousand dollars ($500,000.00) per calendar year for such goods or services, as defined by the rules of the Louisiana Gaming Control Board, to the holder of a gaming license or the casino gaming operator. Furthermore, any person who, directly or indirectly, furnishes services or goods to the holder of a license or the casino gaming operator, regardless of the dollar amount of the goods and services furnished or who has a business association with the holder of a gaming license or the casino operator, may be required by the Louisiana Gaming Control Board or Office of the State Police – Department of Public Safety & Corrections, where applicable, to be found suitable or apply for a non-gaming supplier permit.
Applied for Louisiana Gaming/Non-Gaming Permit?
Yes
No
State Police Gaming/Non-Gaming Permit #
Expiration Date
- must be mm/dd/yyyy format
MM slash DD slash YYYY
Louisiana Gaming Control Law prohibits companies owned or controlled by an elected public official from engaging in any business activity with a gaming operator and/or licensee.
Are any of your company’s owners, officers, partners, or agents elected officials?
Yes
No
For Louisiana Vendors, you may be required to complete the following forms which will be provided upon receipt and approval of this vendor packet: Vendor Affidavit of Compliance; Louisiana Owned Business Affidavit; Minority Owned Business Affidavit and/or Woman Owned Business Affidavit.
IF YOU WILL BE PROVIDING SERVICES IN ANY OTHER JURISDICTION, PLEASE COMPLETE THE FOLLOWING:
Please check the category/categories in which your business falls:
Exempt Supplier
Non-exempt Woman Owned
Non-exempt Supplier
Non-exempt Minority Owned
As applicable, please attach any certification as a minority, veteran, small or woman owned enterprise along with any applicable gaming/non-gaming license and/or permit.
Drop files here or
Select files
Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 2 MB.
If applicable, upload Statement of Qualifications or Contractor AIA A305
Drop files here or
Select files
Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 2 MB.
Please Upload Your W-9 Form
(Required)
Click here for a blank W-9 form.
Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 2 MB.
Address
If your address for remitting payment is different than the address on your W-9, please indicate that below
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Please Upload Your Certificate of Insurance Requirements
You must upload your Certificate of Insurance to be entered as an approved vendor.
Click here to view the insurance requirements.
For any insurance related questions, email
[email protected]
Drop files here or
Select files
Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 2 MB.
Terms and Conditions
(Required)
Click here to view.
By checking this box and signing the Vendor Packet documents, I certify and acknowledge that I have read, understand and agree to all
Terms and Conditions
set forth herein, that I am an officer and/or owner of the Seller, and that I have the authority to enter into a binding agreement on behalf of the Seller.
Confirmation
(Required)
I certify that information requested on this form is accurate and has been completed and submitted by the owner or officer listed below:
Name
(Required)
First
Last
Date
- must be mm/dd/yyyy format
(Required)
MM slash DD slash YYYY
Signature
(Required)
Reset signature
Signature locked. Reset to sign again
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SIOUX CITY
111 3RD STREET
SIOUX CITY, IA 51101
712.226.7600
TOLL FREE 844.222.ROCK