COG_Substitute_W9.pdf
PDF 172 KB Posted
- Solicitation number
- RFP #23104
- Issued by
- Greenville County, South Carolina
About this file
The document is a County of Greenville Substitute Form W-9, revised in March 2022, which is a tax identification and vendor information form used for processing payments to contractors and service providers. This specific form is directly related to the County's Public Roads Pavement Condition and Asset Inventory Index Survey project, which seeks a qualified firm to conduct comprehensive road surface testing on approximately 1,830 miles of county-maintained asphalt roadways. The data collection will utilize a mobile vehicle equipped with GPS, high-resolution cameras, pavement profiling, and rutting sensors to evaluate road conditions in accordance with ASTM D6433 - 18 standards.
The form requires detailed vendor information including legal name, taxpayer identification number, entity tax classification, service type, contact details, and certification of U.S. taxpayer status. While the form itself does not specify pricing or contract terms, it is a standard administrative document necessary for vendor registration and payment processing for the road condition survey project. The form allows the county to collect essential information for tax reporting and payment purposes, with a specific note that failure to provide the requested information in a timely manner could prevent or delay payment to the vendor.
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Other files
| File | Type | Posted |
|---|---|---|
| Public_Roads_Pavement_Condition_and_Asset_Inventory_Index_Survey.pdf | ||
| 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 March 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 __ Partnership __ Medical or Veterinarian Service
__ LLC- Partnership __ C Corporation __ Legal/ Attorney Service
__ LLC- C-Corp __ S Corporation __ Rental of Real Property
__ LLC- S Corp __ Trust/Estate __ Products/ Services type______________
__ Other_____________________________________ __ 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.
Contact Information
Remittance 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: |
| LLCS Corp: |
| Products Services type: |
| Remittance 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 .