MT_SAC_VENDOR_PACKET_(5).pdf
PDF 13 MB Posted
- Solicitation number
- 2025-188
- Issued by
- Los Angeles County, California
About this file
This document is a vendor information packet from Mt. San Antonio College's Purchasing Department, containing multiple tax-related forms including W-9, vendor information sheet, and California state tax withholding forms (Forms 587, 588, and 590). The packet is designed to collect comprehensive vendor information for potential contractors, with a specific focus on vendors who may be providing services outside of California. The forms require detailed information about the vendor's business structure, tax identification numbers, banking details, and potential withholding exemptions.
The packet includes instructions for vendors to complete various California state tax forms depending on their business location and tax status. Specifically, vendors with addresses outside California may need to submit additional forms such as Form 590 (Withholding Exemption Certificate), Form 588 (Nonresident Withholding Waiver Request), or Form 587 (Nonresident Withholding Allocation Worksheet). These forms help determine the appropriate tax withholding requirements for non-California businesses performing work for the college. The vendor information sheet also includes optional self-identification categories like minority-owned, woman-owned, small business, and disabled veteran enterprise, which may be used for affirmative action or diversity reporting purposes.
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Text version
Mt. San Antonio College Purchasing Department 1100 N. Grand Ave.
Walnut, CA 91789
Phone (909) 274-4245 Fax (909) 274-2025
VENDOR INFORMATION
1. GENERAL INFORMATION
Company Name
Contact Name dba (if applicable)
Mailing Address
City, State & Zip Code
Phone Number Fax Number
E-Mail Address
Website Address
2. Remittance Address (If different from Item 1):
Company Name
Contact Name dba (if applicable)
Mailing Address
City, State & Zip Code
Phone Number Fax Number
E-Mail Address
Alternate E-Mail Address
3. Affirmative Action (Check One):
Minority-Owned/Disadvantaged Business Woman-Owned Business Small Business Concern Disabled Veteran Enterprise Other___________________________________ None of the Above
4. ACH Info:
Bank Name: __________________________________
Routing # : ___________________________________
Account Name: ________________________________
Account # : ___________________________________
Account Type: ____Checking ____Savings
Does an employee or officer of Mt. San Antonio College own, partly own, operate, or have a financial interest in this business? Yes No If yes, please provide the name of the Mt. San Antonio College employee or officer who is affiliated with this business. _________________________________________________
DISTRICT USE ONLY
VENDOR I.D. NO: DATE ENTERED:
By:
BANK VERIFICATION: DATE VERIFIED:
By:
PRE-NOTE: DATE COMPLETED:
By:
Dear Prospective Vendor, If your address is outside California our college may need one of the additional forms below.
To assist you in determining which form to submit, below are brief form descriptions:
Form 590 withholding exemption certificate: to be used if a company is claiming an exemption from withholding i.e. they have a presence in California
Form 588 Nonresident Withholding Waiver Request: to be used if a company is requesting a withholding waiver i.e. they are filing a California Tax Return for reason(s) listed on the form
Form 587 Nonresident Withholding allocation Worksheet: to be filled out by a company if the other two forms are not applicable i.e. the company does not have a presence (address) in California and are not filing California tax returns
Attached are additional forms that your company will need to review.
Please choose one and send back with W9 and company information. Thank you.
File details come from the government source that posted it. Updated .