COG_Sub_W9_.pdf
IRS Form PDF 170 KB Posted
- Solicitation number
- RFP #27009
- 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, used for tax identification and payment processing purposes in connection with a construction quality assurance project. The form requests critical vendor information including legal name, taxpayer identification number (either Social Security Number or EIN/FIN), entity tax classification, and service type designation. The document applies to the County's solicitation for Quality Assurance services related to the construction of Twin Chimneys Landfill Unit 4 Cell 5, which requires an engineering firm to provide Construction Quality Assurance (CQA) field services in compliance with the project's CQA Plan. The successful contractor must deliver detailed and comprehensive field services to certify all aspects of construction contract compliance and submit a final CQA report to the South Carolina Department of Environmental Services within 30 days of substantial completion.
The form mandates that vendors provide remittance information including payment address, contact name, telephone number, fax, and email. All respondents 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 U.S. person. The County of Greenville's Substitute Form W-9 is revised as of October 2022 and explicitly states that the standard IRS Form W-9 will not be accepted as a substitute, making completion of this specific form a mandatory requirement for all vendors seeking to contract with the county on this or related projects.
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| State | Files |
|---|---|
| Massachusetts | 7,065 |
| Texas | 1,094 |
| Colorado | 1,090 |
| New York | 906 |
| Florida | 623 |
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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 .