COG_Sub_W9.pdf
PDF 170 KB Posted
- Attached to
- Asphalt Speed Hump Installation Services
- Solicitation number
- RFQ #26062
- Issued by
- Greenville County, South Carolina
About this file
This is a Substitute Form W-9 document from the County of Greenville, South Carolina, used for tax identification and payment processing purposes in relation to the Asphalt Speed Hump Installation Services contract opportunity. The form requests standard contractor information including legal name, taxpayer identification number (either SSN or EIN/FIN), business address, entity tax classification, and the type of service to be provided. The contract opportunity itself involves the installation of asphalt speed humps on various county roads on an as-needed basis, with the County anticipating an annual average of twenty to twenty-five installations. The County is seeking a contractor capable of addressing these ongoing needs through a one-year initial contract term with the possibility of four additional annual renewals.
The form requires contractors to provide payment remittance information, including a separate address if different from the legal address, contact name, telephone number, fax number, and email address. Contractors must certify under penalties of perjury that the taxpayer identification number provided is correct, that they are not subject to backup withholding by the Internal Revenue Service, and that they are a U.S. citizen or other U.S. person. The document does not contain specific pricing information, set-asides, funding amounts, or other financial terms, as it functions solely as a tax identification verification form required for payment processing upon contract award.
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Other files
| File | Type | Posted |
|---|---|---|
| Asphalt_Speed_Hump_Installation_Services.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 .