COG_Sub_W9_.pdf

PDF 170 KB Posted

Attached to
Pool Chemicals and Maintenance Services
Solicitation number
RFP #27017
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, for use in conjunction with a pool chemicals and maintenance services contract opportunity. The form is the county's mandatory substitute for the standard IRS Form W-9 and must be completed by vendors seeking to provide chemicals and maintenance services for twelve county-owned pools and water features, including three waterparks, one indoor aquatic complex, and one therapeutics pool. The contract will commence on January 1st, 2027, and is structured as a one-year initial term with the option for four annual renewals. The county seeks a single source capable of supplying both chemicals and filtration services to meet the distinct operational needs of its commercial pool facilities.

Vendors must complete all required fields on the form, including legal name, taxpayer identification number (matching tax return documentation), entity tax classification, service type, legal address, and payment remittance information. 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. Timely submission of a properly completed Form W-9 is mandatory, as failure to provide the information in a timely manner could prevent or delay contract payment. The form serves as a critical administrative requirement for vendor qualification and payment processing for this county procurement opportunity.

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File Type Posted
Pool_Chemicals_and_Maintenance_Services.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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File details come from the government source that posted it. Updated .