8-W9 Form-Fillable.pdf

This is a W-9 Form submission document related to an Invitation to Bid issued by Halifax Health, a Florida-based healthcare organization, for Ophthalmology Practice Equipment (Project PROJ-25-160). Halifax Health is soliciting bid responses from qualified suppliers with demonstrated expertise on similar ophthalmology projects. The Invitation for Bid packet is available through the Halifax Health Procurement Portal beginning December 4, 2025, at 12:00 PM EST. Interested suppliers may submit questions regarding the ITB through the procurement portal, with all inquiries due by 12:00 PM EST on December 15, 2025; responses will be provided via addendum. All bids must be submitted electronically through the procurement portal with a final deadline of 2:00 PM EST on December 17, 2025. The general conditions contained in the bid instructions and conditions are binding upon each bidder.

The W-9 Form serves as the tax identification documentation required for vendor registration and payment processing purposes. The form contains standard fields for vendor information and tax identification, though specific pricing terms, contract duration, renewal options, and funding details are not detailed in this document. Suppliers selected to provide ophthalmology practice equipment will be subject to Halifax Health's procurement policies and contractual requirements as outlined in the complete ITB packet.