36C25220B0015-0005003.pdf

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Z1DA--676-19-105 Replace Steam Condensate Lines Federal contract opportunity
Solicitation number
36C25220B0015
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12

About this file

This document contains a federal contract opportunity notice and related state tax exemption form. The federal contract opportunity is a pre-solicitation notice for project number 676-19-105 to replace approximately 8,400 linear feet of steam condensate lines at the Tomah VA Medical Center in Tomah, Wisconsin. The project value is estimated between $2 million to $5 million, and the North American Industry Classification Code is 238220 with a size standard of $16.5 million. The performance period is 720 calendar days after notice to proceed. The solicitation will be posted to SAM.gov on February 24, 2020 with a bid opening on March 25, 2020. A pre-bid conference will be conducted. The procurement is set aside entirely for Service-Disabled Veteran Owned Small Businesses. The state tax exemption form allows purchasers to claim exemptions for items including manufacturing equipment, farming supplies, food processing, and property used for residential or farm use of electricity, gas and fuel.

36C25220B0015 0005 S02 - ATTACHMENT E. WI State Tax Exemption.pdf

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36C25220B0015-0008000.docx DOCX document
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36C25220B0015-0007001.pdf PDF
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36C25220B0015-0003000.docx DOCX document
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36C25220B0015-031.docx DOCX document
36C25220B0015-032.pdf PDF
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S-211 (R. 10-18) Wisconsin Department of RevenueThis Form May Be Reproduced

Resale (Enter purchaser’s seller’s permit or use tax certificate number)

Reason for Exemption

Manufacturing and Biotechnology

Tangible personal property (TPP) or item under s.77.52(1)(b) that is used exclusively and directly by a manufacturer in manufacturing an article of TPP or items or property under s.77.52(1)(b) or (c) that is destined for sale and that becomes an ingredient or component part of the article of TPP or items or property under s.77.52(1)(b) or (c) destined for sale or is consumed or destroyed or loses its identity in manufacturing the article of TPP or items or property under s.77.52(1)(b) or (c) destined for sale.

Machines and specific processing equipment and repair parts or replacements thereof, exclusively and directly used by a manufacturer in manufacturing tangible personal property or items or property under s.77.52(1)(b) or (c) and safety attachments for those machines and equipment.

The repair, service, alteration, fitting, cleaning, painting, coating, towing, inspection, and maintenance of machines and specific processing equipment, that the above purchaser would be authorized to purchase without sales or use tax, at the time the service is performed. Tools used to repair exempt machines are not exempt.

Fuel and electricity consumed in manufacturing tangible personal property or items or property under s.77.52(1)(b) or (c) in this state.

Percent of fuel exempt: % Percent of electricity exempt: %

Portion of the amount of fuel converted to steam for purposes of resale. Percent of fuel exempt: %

Property used exclusively and directly in qualified research, by persons engaged in manufacturing at a building assessed under

s. 70.995, by persons engaged primarily in biotechnology in Wisconsin, or a combined group member conducting qualified research for another combined group member that meets these requirements.

Farming

Tractors (except lawn and garden tractors), all-terrain vehicles (ATV) and farm machines, including accessories, attachments, and parts, lubricants, nonpowered equipment, and other tangible personal property or items or property under s.77.52(1)(b) or (c) that are used exclusively and directly, or are consumed or lose their identities in the business of farming. This includes services to the property and items above.

Feed, seeds for planting, plants, fertilizer, soil conditioners, sprays, pesticides, and fungicides.

Breeding and other livestock, poultry, farm work stock, bees, beehives and bee combs.

Containers for fruits, vegetables, bee products, grain, hay, and silage (including containers used to transfer merchandise to cus-tomers), and plastic bags, sleeves, and sheeting used to store or cover hay and silage. Baling twine and baling wire.

Animal waste containers or component parts thereof (may only mark certificate as “Single Purchase”).

Animal bedding, drugs for farm livestock or on bees, and milk house supplies.

(To qualify for this exemption, the purchaser must use item(s) exclusively and directly in the business of farming, including dairy farming, agriculture, horticulture, floriculture, silviculture, beekeeping or custom farming services.)

Check One Single Purchase Continuous

Purchaser: Complete this certificate and give it to the seller.

Seller: If this certificate is not fully completed, you must charge sales tax. Keep this certificate as part of your records.

Wisconsin Sales and Use Tax Exemption Certificate

Do not send this certificate to the Department of Revenue

Form S-211

Purchaser Information Business Name Type of Business

Business Address City State ZIP Code

Purchaser’s Tax ID Number State of Issue

If no Tax ID Number, enter one of the following:

FEIN Driver’s License Number/State Issued ID Number State of Issue

Seller Information Name

Address City State ZIP Code

S-211 (R. 10-18) Wisconsin Department of Revenue

Governmental Units and Other Exempt Entities The United States and its unincorporated agencies and instrumentalities.

Any federally recognized American Indian tribe or band in this state.

Wisconsin state and local governmental units, including the State of Wisconsin or any agency thereof, Wisconsin counties, cities, villages, or towns, and Wisconsin public schools, school districts, universities, or technical college districts.

Organizations organized and operated exclusively for religious, charitable, scientific, or educational purposes, or for the prevention of cruelty to children or animals. CES Number (Required for Wisconsin organizations).

Other Containers and other packaging, packing, and shipping materials, used to transfer merchandise to customers of the purchaser.

Trailers and accessories, attachments, parts, supplies, materials, and service for motor trucks, tractors, and trailers which are used exclusively in common or contract carriage under LC, IC, or MC No. (if applicable) .

Machines and specific processing equipment used exclusively and directly in a fertilizer blending, feed milling, or grain drying operation, including repair parts, replacements, and safety attachments.

Building materials acquired solely for and used solely in the construction or repair of holding structures used for weighing and dropping feed or fertilizer ingredients into a mixer or for storage of such grain, if such structures are used in a fertilizer blending, feed milling, or grain drying operation.

Tangible personal property purchased by a person who is licensed to operate a commercial radio or television station in Wisconsin, if the property is used exclusively and directly in the origination or integration of various sources of program material for commercial radio or television transmissions that are generally available to the public free of charge without a subscription or service agreement.

Fuel and electricity consumed in the origination or integration of various sources of program material for commercial radio or television transmissions that are generally available to the public free of charge without a subscription or service agreement.

Percent of fuel exempt: % Percent of electricity exempt: %

Tangible personal property and items, property and goods under s.77.52(1)(b), (c), and (d) to be resold by on my behalf where is registered to collect and remit sales tax to the Department of Revenue on such sales.

Tangible personal property, property, items and goods under s.77.52(1)(b), (c), and (d), or services purchased by a Native American with enrollment # , who is enrolled with and resides on the

Reservation, where buyer will take possession of such property, items, goods, or services.

Tangible personal property and items and property under s.77.52(1)(b) and (c) becoming a component of an industrial or municipal waste treatment facility, including replacement parts, chemicals, and supplies used or consumed in operating the facility. Caution:

Do not check the “continuous” box at the top of page 1.

Portion of the amount of electricity or natural gas used or consumed in an industrial waste treatment facility.

(Percent of electricity or natural gas exempt %)

Electricity, natural gas, fuel oil, propane, coal, steam, corn, and wood (including wood pellets which are 100% wood) used for fuel for residential or farm use. % of Electricity % of Natural Gas % of Fuel

Exempt Exempt Exempt

Residential . . . . . . . . . . . . . . . . . . . . % % %

Farm . . . . . . . . . . . . . . . . . . . . . . . . . % % %

Address Delivered:

Percent of printed advertising material solely for out-of-state use. % Catalogs, and the envelopes in which the catalogs are mailed, that are designed to advertise and promote the sale of merchandise or to advertise the services of individual business firms.

Computers and servers used primarily to store copies of the product that are sent to a digital printer, a plate-making machine, or a printing press or are used primarily in prepress or postpress activities, by persons whose NAICS code is 323111, 323117, or 323120.

Purchases from out-of-state sellers of tangible personal property that are temporarily stored, remain idle, and not used in this state and that are then delivered and used solely outside this state, by persons whose NAICS code is 323111, 323117, or 323120.

Other purchases exempted by law. (State items and exemption).

I declare that the information provided is complete and accurate to the best of my knowledge, and that the product(s) purchased will be used in the exempt manner indicated. If a product is not used in an exempt manner, I will remit use tax on the purchase price at the time of first taxable use. I understand that failure to remit the use tax may result in a future liability, including tax, interest, and penalty.

CAUTION: Using this certificate to avoid paying sales tax may result in a fine of $250 for each transaction for which the certificate is used

Enter CES No., if applicable

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