COG_Sub_W9_.pdf

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Attached to
UNIT 4 CELL 5 GEOSYNTHETIC MATERIALS
Solicitation number
RFP #26108
Issued by
Greenville County, South Carolina

About this file

This is a Substitute Form W-9 issued by the County of Greenville, South Carolina, designed to collect taxpayer identification information from vendors and contractors conducting business with the county. The form requires submission of legal business name, taxpayer identification number (either SSN or EIN/FIN), legal address, and entity tax classification. Vendors must specify the type of service or product being provided, selecting from categories including medical/veterinarian services, legal/attorney services, rental of real property, or products/services. The form also requires payment remittance information including a contact name, telephone number, fax number, and email address. The document explicitly states that the IRS Form W-9 will not be accepted as a substitute and that failure to provide the required information in a timely manner could prevent or delay payment.

The vendor 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. This form was revised in October 2022 and serves as a mandatory requirement for any entity seeking to contract with Greenville County. The form is directly associated with a procurement solicitation for geosynthetic materials (GCL, 60-mil HDPE, and geocomposite) for landfill base liner construction at the Twin Chimneys Landfill, with materials required for delivery and storage by October-November 2026. Qualified vendors must be approved geosynthetics installers or material manufacturers capable of procuring, storing, and delivering the specified materials within the required timeframe.

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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 .