Taxpayer ID Number~3.docx

DOCX document 30 KB Posted

Attached to
FY27 IDOT CO Certificate of Safety Decals- SP
Solicitation number
27-494DOT-FINAD-B-54325
Issued by
Sangamon County, Illinois

About this file

This file is a Taxpayer ID Number form related to the Illinois Department of Transportation's FY27 solicitation for Certificates of Safety Decals. The document serves as a supporting exhibit to the procurement opportunity, which is open to all vendors registered in BidBuy. The form functions as a standard tax identification documentation requirement for vendors participating in the bid process for safety decals that the agency seeks to purchase.

The file contains no specific information regarding quantities, delivery schedules, response deadlines, bid due dates, site visits, bidders' conferences, award timelines, or contract terms. Similarly, no pricing terms, set-asides, incumbent contractor information, funding sources, or financial amounts are detailed within this particular document. As a tax documentation form, this file is primarily administrative in nature and would typically be submitted as part of a vendor's proposal package to establish the contractor's tax compliance status.

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Other files

File Type Posted
Appendix A IL CoS FY26~1.pdf PDF
Safety Decals Contract.docx DOCX document
standard-terms-and-conditions23.2~45.pdf PDF
standard-illinois-certifications-v-26-2~16.pdf PDF

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Text version

STATE OF ILLINOIS

TAXPAYER IDENTIFICATION NUMBER

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 .