COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- UNIFORMS AND ACCESSORIES
- Solicitation number
- RFP #26095
- Issued by
- Greenville County, South Carolina
About this file
This is a Substitute Form W-9 document from the County of Greenville, South Carolina, required for vendors responding to a sealed proposal for uniforms and accessories for the Greenville County Emergency Medical Services (EMS) Department. The County of Greenville seeks vendors to provide uniforms and accessories for approximately 350 staff personnel, with vendors required to measure and fit all uniforms as necessary. Pricing must be submitted on an enclosed price sheet (Attachment C). The form requires vendors to provide their legal name, taxpayer identification number (either SSN or EIN/FIN), entity tax classification, and service type classification, along with legal address and payment remittance information.
The Substitute Form W-9 is mandatory for all vendors and must be completed and submitted in lieu of the IRS Form W-9, as established in the County of Greenville's October 2022 revised procedures. The form requires vendors to certify under penalties of perjury that the taxpayer identification number provided is correct, that they are not subject to backup withholding, and that they are a U.S. citizen or other U.S. person. Failure to provide the completed form in a timely manner may prevent or delay payment of contract awards.
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Other files
| File | Type | Posted |
|---|---|---|
| UNIFORMS_AND_ACCESSORIES.pdf | ||
| Uniform_Price_Sheet.pdf | ||
| Uniform_Items_RFP.docx | DOCX document | |
| 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: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
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| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
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File details come from the government source that posted it. Updated .