COG_Sub_W9_.pdf

PDF 170 KB Posted

Attached to
Pool Chemicals and Maintenance Services
Solicitation number
RFP #26073
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 October 2022, used for capturing vendor taxpayer identification and payment information in lieu of the standard IRS Form W-9. The form requires vendors to provide their legal name, DBA/trade name, taxpayer identification number (SSN or EIN/FIN), legal address, entity tax classification, service type provided, and payment remittance information including contact details. The form also includes certification statements requiring vendors to confirm their correct taxpayer identification number, non-subject status to backup withholding, and U.S. citizenship or status as a U.S. person, with signature and date attestation required.

This document serves as a prerequisite administrative requirement for the Pool Chemicals and Maintenance Services contract opportunity (RFP #26073) with Greenville County. Vendors responding to this solicitation must complete and submit this County-specific W-9 form as part of their proposal package to establish payment eligibility and tax compliance documentation. The form does not contain pricing, contract terms, or technical specifications but rather functions as a standardized tax and payment information collection instrument mandated by the County prior to contract award and execution.

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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 .