Attachment C W-9~5.pdf

This is IRS Form W-9, Request for Taxpayer Identification Number and Certification, presented as Attachment C to a state or local contract solicitation document. The form is a standard federal tax document used to collect taxpayer identification information from individuals and entities conducting business with government agencies or other organizations. The form requires completion of the contractor's name, business name if applicable, address, and taxpayer identification number (either a Social Security Number for individuals or Employer Identification Number for entities). Signers must certify under penalty of perjury that the taxpayer identification number provided is correct, that they are exempt from backup withholding if claiming such status, and that they are either U.S. citizens or resident aliens.

The W-9 form serves as a prerequisite requirement for contract award and payment processing. Contractors must sign and date the completed form before submission to the requesting agency. The form includes sections for identifying the type of entity (individual proprietor, corporation, partnership, etc.), exemption codes if applicable, and certification statements regarding the accuracy of provided information and backup withholding status. This form is mandatory for all contractors prior to contract execution and receipt of payments from state or local government entities.