Attachment C W9~4.pdf

PDF 395 KB Posted

Attached to
self-contained breathing apparatus
Solicitation number
FD-23-219
Issued by
California

About this file

This document is Attachment C of a contract opportunity package and contains the W-9 Request for Taxpayer Identification Number and Certification form issued by the Internal Revenue Service. The form serves as a standardized document that contractors and vendors must complete and submit to provide their correct taxpayer identification number (TIN) and certify their tax status. The form requires the requesting entity's name and address information, business classification (such as individual proprietor, corporation, partnership, or other entity type), and the contractor's TIN, which is typically either a social security number for individuals or an employer identification number for businesses and organizations. Completion and submission of this form is a mandatory requirement for contract award and payment processing in state and local contracting.

The W-9 form includes certification statements in which the contractor attests that the TIN provided is correct, confirms their U.S. citizenship or resident alien status, and certifies their FATCA reporting compliance status. The contractor must sign and date the completed form before submission to the requesting entity. The form explicitly notes that it should not be sent to the Internal Revenue Service but rather retained by the entity requesting the information. This form is a prerequisite document for contract execution and enables the contracting agency to properly report payments and maintain accurate vendor records for tax compliance and accounting purposes.

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Text version

Attachment C

W-9 Request for Taxpayer Identification Number and Certification

[Form must be signed and dated]

File details come from the government source that posted it. Updated .