RFP_25RFP17745_Exhibit B -W-9_SD.pdf
PDF 157 KB Posted
- Attached to
- Math SPDG Project Evaluation Services
- Solicitation number
- 25RFP17745
- Issued by
- South Dakota
About this file
This Substitute W-9 form is a South Dakota tax identification and vendor registration document required by the State of South Dakota Department of Education for the Math SPDG Project Evaluation Services procurement (RFP #25RFP17745). The form captures essential vendor information including legal name, entity designation, taxpayer identification number, business addresses for order and remittance purposes, and banking details for direct deposit payments. Vendors must certify under penalty of perjury that the taxpayer identification number provided is correct and that they are not subject to backup withholding by the Internal Revenue Service. The form accommodates various entity types including sole proprietorships, partnerships, corporations, limited liability companies, governmental entities, and exempt organizations. Vendors are required to provide a legible email address to receive electronic notification of payment issuance and access credentials for the South Dakota Vendor Self Service website. The state agency completing the form will assign a vendor number for new vendors in the South Dakota Accounting System (SDAS) and verify the business entity designation, identification numbers, and banking information provided by the prospective consultant.
This form serves as a critical component of the proposal submission requirements for the Math SPDG evaluation services contract. All prospective consultants must complete and submit the Substitute W-9 along with other required documentation, including audited financial statements, three examples of similar past work with client references, and proof of required insurance coverage. The contract is anticipated to be awarded in February 2026, with the service period running from April 1, 2026, through September 30, 2030, with potential one-year extensions at the state's discretion. Proposal submissions are due by January 30, 2026, with written inquiries accepted until January 9, 2026, and state responses provided by January 16, 2026. While no specific contract funding amount is disclosed in the RFP, proposers must submit detailed, itemized budgets with costs broken down by deliverable and must comply with federal restrictions prohibiting foreign national ownership or control from specified countries.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP Document.pdf | ||
| Response to Offeror Questions document.docx | DOCX document | |
| Addendum 1-RFP Document.pdf | ||
| 25RFP17745_Exhibit C_Certification re Prohibited Entity.docx | DOCX document | |
| 25RFP17745_Exhibit C_Certification re Prohibited Entity.docx | DOCX document | |
| RFP_25RFP17745_Exhibit B -W-9_SD.pdf | ||
| RFP Document.pdf |
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Text version
State of South Dakota
BFM-0001 (V03/201907)
Substitute W-9
SEND TO THE STATE AGENCY
YOU SEND INVOICES
DO NOT send to IRS
Taxpayer Identification Number (TIN) Verification Print or Type Please see attachment or reverse for complete instructions.
This form can be made available in alternative formats to qualified individuals upon request.
Legal Name (as entered with IRS) If Sole Proprietorship enter your Last, First MI
Entity Designation (check only one) Required
Individual / Sole Proprietor Partnership C Corporation S Corporation Limited Liability Company - Individual Limited Liability Company - Partnership Limited Liability Company - Corporation Governmental Entity Hospital Exempt from Tax or Government Owned
Long Term Care Facility Exempt from Tax or Government Owned
Trust/Estate All Other Entities (specify e.g. 501(c)(3), etc.)
Taxpayer Identification Number (TIN)
Business Name If doing business as (DBA) or enter business name of Sole Proprietorship
Order Address (where order should be mailed) PO Box or Number and Street, City, State, ZIP + 4
Remit Address (where check should be mailed) PO Box or number and street, City, State, ZIP + 4
Exemptions Check Only One Required
Social Security Number (SSN) Employer Identification Number (EIN) Individual Taxpayer Identification Number for U.S. Resident Aliens (ITIN)
Exempt payee code (if any):
Exemption from FATCA reporting code (if any):
Certification Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number, AND
2. I am not subject to back up 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 back up 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.
3. I am a U.S. person (including a US resident alien).
Printed Name Printed Title Telephone Number
Signature Date (mm/dd/yy)
Optional Direct Deposit Information Your Bank Account Number Checking
Savings Bank Routing Number (9-digit ABA #) Name on Bank Account
THIS IS A:
new direct deposit change of existing (providing old banking information required to change existing)
Old Bank Account Number Old Routing Number (9-digit ABA #) You must provide the previous banking information to make a change.
Required e-mail address (Please make this LEGIBLE)
If you provide an email address you will be sent electronic notification when a payment is issued. You will also receive a PIN for use when logging into the SD Vendor Self Service website at http://bfm.sd.gov/vendor. We will NOT share your email address with anyone or use it for any purpose other than communicating remittance information.
Information below to be completed by the State Agency. Vendor Number required for any new vendors added to SDAS.
State Agency: Agency Contact: Date: Vendor Number assigned by SDAS:
| Business Name If doing business as DBA or enter business name of Sole Proprietorship: |
| Individual Sole Proprietor: Off |
| Partnership: Off |
| C Corporation: Off |
| S Corporation: Off |
| Limited Liability Company Individual: Off |
| Limited Liability Company Partnership: Off |
| Limited Liability Company Corporation: Off |
| Governmental Entity: Off |
| Hospital Exempt from Tax or Government: Off |
| Long Term Care Facility Exempt from Tax or: Off |
| TrustEstate: Off |
| All Other Entities specify eg 501c3 etc: Off |
| Social Security Number SSN: Off |
| Employer Identification Number EIN: Off |
| Individual Taxpayer Identification Number: Off |
| Printed Name: |
| Printed Title: |
| Telephone Number: |
| Date mmddyy: |
| Checking: Off |
| Savings: Off |
| Name on Bank Account: |
| new direct deposit: Off |
| change of existing providing old banking information required to change existing: Off |
| Old Bank Account Number: |
| Exempt Payee code (if any): |
| FATCA reporting code (if any): |
| Bank Account Number: |
| Bank Routing Number: |
| Old Routing Number: |
| e-mail address: |
| Legal Name as entered with IRS: |
| Order Address where order should be mailed: |
| Remit Address where check should be mailed: |
| Text5: |
| Text6: |
| Text1: |
| Text2: |
| Text3: |
| Text4: |
| Text9: |
| Text8: |
| Text10: |
File details come from the government source that posted it. Updated .