COG_Sub_W9_.pdf

PDF 170 KB Posted

Attached to
Operational Assessment State and local contract opportunity
Solicitation number
RFP #26094
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, designed for use in connection with the County's Operational Assessment contract opportunity. The form serves as a tax identification document for vendors and contractors conducting business with Greenville County and requires submission in lieu of the standard IRS Form W-9. The document requests comprehensive vendor information including legal business name, Taxpayer Identification Number (either Social Security Number or EIN/FIN), entity tax classification, service type description, and payment remittance details. Vendors must certify under penalty of perjury that they are U.S. citizens or U.S. persons, that their taxpayer identification number is correct, and that they are not subject to IRS backup withholding requirements.

The form includes sections for vendors to identify their entity classification—such as sole proprietorships, partnerships, corporations, or trusts—and to specify the nature of services being provided, with predefined categories including medical/veterinary services, legal/attorney services, and rental of real property, as well as open-ended options for other service types. The County explicitly states that failure to provide the required tax identification information in a timely manner could prevent or delay payment from the County. The document requires authorized signature and date from the vendor or representative, confirming the accuracy and validity of all submitted information. This form is a prerequisite administrative requirement for vendors bidding on Greenville County contracts, including the current Operational Assessment opportunity for comprehensive performance evaluation services for the Greenville County Sheriff's Office and Emergency Management Services.

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Other files for this state and local contract opportunity

Other files attached to Operational Assessment, newest first.
File Type Posted
Operational_Assessment_(Addendum_#1_Revision).pdf PDF
Operational_Assessment.pdf PDF
Sample_Services_Agreement.pdf PDF
COG_Sub_W9_.pdf PDF
Sample_Services_Agreement.pdf 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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