COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- Vehicle and Ambulance Striping with Graphics
- Solicitation number
- RFP #25091
- Issued by
- Greenville County, South Carolina
About this file
The document is a Substitute Form W-9 issued by the County of Greenville, South Carolina, designed to collect vendor tax and payment information for potential contractors. This specific form is part of the procurement process for a Vehicle and Ambulance Striping with Graphics project, which seeks to enter into a one-year contract with the possibility of four additional annual renewals. The contract, set to start on July 1, 2025, will involve providing and installing graphics on vehicles used by the Emergency Medical Service and Sheriff's Office, with Greenville County reserving the right to award to one or more vendors.
The form requires detailed vendor information including legal name, taxpayer identification type, legal address, entity tax classification, and service type. The document emphasizes the importance of providing accurate taxpayer identification information, noting that failure to do so could prevent or delay payment. The form includes certification statements affirming the vendor's tax status, backup withholding exemption, and U.S. citizenship or residency. While the form does not specify pricing or funding details, it serves as a critical administrative step in the procurement process, ensuring proper tax reporting and payment mechanisms for the potential contractor.
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Other files
| File | Type | Posted |
|---|---|---|
| Vehicle_and_Ambulance_Striping_with_Graphics_(Addendum_#3_Revision).pdf | ||
| EMS_Vehicles.pdf | ||
| Sheriff_Vehicles.pdf | ||
| Sample_Services_Agreement.pdf |
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Text version
COUNTY OF GREENVILLE SUBSTITUTE FORM W-9
(IRS Form W-9 will not be accepted in lieu of this form) Revised October 2022
Legal Name (as shown on tax return) DBA/Trade Name
Taxpayer Identification Type TIN (Must match legal name)
__ SSN __ EIN/FIN ________________________
Legal Address (number, street & apt. or suite no.) City, State & Zip code
Entity Tax Classification (Choose only one) Service Provided (Must select a type)
__ Individual/Sole Proprietorship or Single-member LLC __ Medical or Veterinarian service
__ Partnership __ LLC-Partnership __ Legal /Attorney Service
__ C Corporation __ LLC - C- Corp __ Rental of Real Property
__ S Corporation __ LLC- S - Corp __ Products / Services type _____________
__ Other __ Trust /Estate ________________________________
_______________________________________ __ Other (Specify) _____________________
The U.S. Taxpayer Identification Number is being requested per U.S. tax law. Failure to provide in a timely manner could prevent or delay payment.
Payment Remittance Information
Address (number, street & apt. or suite no.) City, State & Zip code
Contact Name Telephone #
Fax # E-mail
Under penalties of perjury, I certify that: 1) The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me);and
2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3) I am a U.S. citizen or other U.S. person.
Sign Here Date
| Legal Name as shown on tax return: |
| DBATrade Name: |
| TIN Must match legal name: |
| Legal Address number street apt or suite no: |
| City State Zip code: |
| undefined: |
| Products Services type: |
| Other: |
| Other Specify: |
| Address number street apt or suite no: |
| City State Zip code_2: |
| Contact Name: |
| Telephone: |
| Fax: |
| Email: |
| Sign Here: |
| Date: |
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File details come from the government source that posted it. Updated .