Attachment 3 Form W-14.pdf

This is Form W-14, "Certificate of Foreign Contracting Party Receiving Federal Procurement Payments," which is used for foreign contractors receiving payments from U.S. federal agencies. The form is Attachment 5 of solicitation 19GE5025R0010 for Health Insurance services at the U.S. Consulate General in Willemstad, Curacao.

The form contains sections for identifying the foreign contracting party, their permanent residence address, U.S. taxpayer identification number if applicable, and the acquiring agency information. It includes provisions for tax exemptions based on international agreements and procurement agreements. The form requires certification from the foreign party regarding compliance with tax obligations under section 5000C and includes declarations about their role and relationship to the contract. This is a standard IRS form (OMB No. 1545-2269) that must be completed by foreign contractors receiving federal procurement payments.