Attachment_4_-_Contractor_Identification_Form.pdf

This Contractor Identification Form is a standardized document used by Sacramento County to collect essential contractor and ownership information for contract administration and compliance purposes. The form requires contractors who are not exempt to provide company identification details including name, address, taxpayer identification number, and telephone contact information. The form also requests disclosure of all individuals who own 25% or more of the contractor or company (with sole proprietors required to answer affirmatively) and inquires whether dependent health insurance is available through the contracting entity. For each principal owner identified, the form collects the owner's name, Social Security number, residence address, and residence telephone number, with space provided for up to four owners. The form must be completed by the contractor and submitted to the contracting department, which then completes a separate section documenting the contract or purchase order number, amount paid or payable, contract term, submitting department, and department contact information.

The form serves as a critical compliance document for Sacramento County's Department of Airports in connection with the Rodent Management Services contract at Sacramento International Airport. Contractors responding to this RFP must complete and submit this form as part of their proposal package to ensure proper identification, ownership transparency, and contractor registration for the anticipated three-year initial contract term (potentially extending to five years with renewal options). Submission of a completed Contractor Identification Form is mandatory for proposal consideration and supports the County's verification of contractor qualifications, insurance requirements, and compliance with federal prevailing wage and affirmative action obligations.