COG_Substitute_W9.pdf
PDF 172 KB Posted
- Attached to
- SIGN MATERIALS FOR GREENVILLE COUNTY
- Solicitation number
- RFP #22104
- Issued by
- Greenville County, South Carolina
About this file
This document is a Substitute Form W-9 issued by the County of Greenville, specifically designed to collect vendor tax and contact information for potential contractors. The form is part of the procurement process for a sign materials contract, which seeks vendors to provide signage materials on an as-needed basis for Greenville County. The contract is structured for an initial one-year term with the option of four additional annual renewals, and the county reserves the right to award the project to multiple vendors by line items. The solicitation requires vendors to provide sign materials in compliance with the Manual on Uniform Traffic Control Devices (MUTCD) regulations.
The form requires vendors to provide comprehensive details including legal business name, taxpayer identification number, entity tax classification, service type, and contact information. Vendors must certify their U.S. taxpayer status, confirm they are not subject to backup withholding, and provide their legal address and remittance address. The document, revised in March 2022, emphasizes the importance of accurate taxpayer identification, noting that failure to provide information in a timely manner could prevent or delay payment. The form supports the county's procurement process by collecting essential vendor information needed for potential contract award and payment processing.
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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 .