Tax ID page~3.pdf
PDF 70 KB Posted
- Attached to
- DOO-TCRU-Leica Robotic Total Stations-ah
- Solicitation number
- 20-493ISP-OPERA-B-12645
- Issued by
- St. Clair County, Illinois
About this file
This document is a State of Illinois taxpayer identification number form related to a state and local contract opportunity for the Illinois State Police (ISP) to purchase approximately two (2) Leica TS16 Robotic Total Stations with all required accessories, software updates, and support. The contract opportunity also includes an option to purchase up to five (5) additional units within thirty-six (36) months.
The document outlines pricing and legal terms, including the requirement for a taxpayer identification number and legal status disclosure. No other details about pricing, set-asides, incumbents, funding sources, or other salient information are provided in the given materials.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Forms B Section V.20.1 (2)~4.docx | DOCX document | |
| Forms A Section V.18.1 - with drop downs on pg 14~3.docx | DOCX document | |
| R-43516-Leica Robotic Total Stations-Invitation for Bid~1.docx | DOCX document | |
| B-12645-Leica Robotic Total Stations NOA.pdf | ||
| Standard Certifications V.18.1 (1)~3.doc | DOC document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
STATE OF ILLINOIS
TAXPAYER IDENTIFICATION NUMBER
State of Illinois Chief Procurement Office General Services 3 FORMS B Certifications and Disclosures V.18.1
I certify that:
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 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
I am a U.S. person (including a U.S. resident alien).
If you are an individual, enter your name and SSN as it appears on your Social Security Card.
If you are a sole proprietor, enter the owner’s name on the name line followed by the name of the business and the owner’s SSN or EIN.
If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s name on the name line and the D/B/A on the business name line and enter the owner’s SSN or EIN.
If the LLC is a corporation or partnership, enter the entity’s business name and EIN and for corporations, attach IRS acceptance letter (CP261 or CP277).
For all other entities, enter the name of the entity as used to apply for the entity’s EIN and the EIN.
Name: Click here to enter text.
Business Name: Click here to enter text.
Taxpayer Identification Number:
Social Security Number: Click here to enter text.
or
Employer Identification Number: Click here to enter text.
Legal Status (check one):
Individual Governmental
Sole Proprietor Nonresident alien
Partnership Estate or trust
Legal Services Corporation Pharmacy (Non-Corp.)
Tax-exempt Pharmacy/Funeral Home/Cemetery (Corp.)
Corporation providing or billing Limited Liability Company medical and/or health care services (select applicable tax classification)
Corporation NOT providing or billing C = corporation medical and/or health care services P = partnership
Signature of Authorized Representative:
Date: Click here to enter a date.
File details come from the government source that posted it. Updated .