COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- Cisco DUO MFA Subscription
- Solicitation number
- IFB #26053
- Issued by
- Greenville County, South Carolina
About this file
This is a Substitute Form W-9 document issued by the County of Greenville, South Carolina, revised in October 2022, which is required for vendor registration and payment processing in connection with the Cisco DUO MFA Subscription bid opportunity. The form establishes the foundational vendor information collection process, requiring contractors to provide their legal name, taxpayer identification number (either SSN or EIN/FIN), and entity tax classification. Vendors must select their service type category and provide their legal address along with payment remittance information including contact details. The form certifies under penalties of perjury that the provided taxpayer identification number is correct, that the vendor is not subject to backup withholding by the IRS, and that the vendor is a U.S. citizen or other U.S. person.
This document serves as a mandatory prerequisite for contract award and payment authorization, as failure to provide the required information in a timely manner could prevent or delay payment processing. The form does not contain pricing terms, contract duration, or specific performance requirements but rather functions as an administrative compliance document that must be completed and submitted by any bidder seeking to be paid for services or products provided to Greenville County. Vendors responding to the Cisco DUO subscription bid must complete this County-specific W-9 substitute form rather than the standard IRS Form W-9.
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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 .