Blank TIN Form~13.docx

This is a Taxpayer Identification Number (TIN) form issued by the State of Illinois for use in connection with a 5-Day Janitorial Service contract opportunity at location L6791 in Champaign, Illinois. The form serves as a certification document requiring bidders to provide accurate taxpayer identification information and confirm their tax compliance status. Bidders must complete the form with their legal name, business name if applicable, and either a Social Security Number or Employer Identification Number depending on their business structure. The form requires bidders to certify they are not subject to backup withholding by the Internal Revenue Service and to indicate their legal status by selecting the appropriate entity classification, which may include individual, sole proprietor, partnership, corporation, limited liability company, governmental, or tax-exempt status.

The janitorial service contract is set-aside exclusively for Small Business and Socially Disadvantaged (SBSA) vendors registered in the Illinois Procurement Gateway (IPG) at the time of bid submission. The contract covers a 24-month term for janitorial services at 206 Anthony Dr., Champaign, IL 61822. Bidders must submit a completed TIN form as part of their proposal package. For corporations providing or billing medical and/or health care services, bidders are required to attach IRS acceptance letters (CP261 or CP277) to verify entity status. The TIN form is a mandatory documentation requirement to establish vendor eligibility and tax compliance credentials for contract award consideration.