1-W-9 Blank Template.pdf

This is a blank W-9 tax form template related to a Request for Proposal issued by Dallas Independent School District (DISD) in Texas for a Comprehensive Special Education, Health Records, and Medicaid Reimbursement Platform. The RFP seeks to procure software, systems, and related services across three primary functional areas: Case Management for Special Education, Dyslexia, and Section 504 compliance; Student Electronic Health Records (EHR); and Third-Party Medicaid Data Tracking and Billing Services. Vendors may submit proposals for a single comprehensive platform covering all areas or for individual standalone modules for district-wide use on an as-needed basis. The contract term shall be for three years with two successive one-year extension options, not to exceed five years total, contingent upon the long-range needs of the District and mutual consent of both parties. Either party must provide written notice of non-renewal no fewer than ninety days prior to the expiration of the then-current contract term.

The W-9 template is a standard tax identification form used to collect vendor tax information for contracting purposes. The solicitation is being issued in accordance with Title 2 of the Code of Federal Regulations (2CFR) Part 200 requirements and may be funded through local, state, federal, and grant-funded programs. All vendors are encouraged to participate, including sole source providers. No specific pricing terms, response dates, due dates, site visits, bidders' conferences, or award dates are detailed in this template document.