Taxpayer ID page.docx
DOCX document 26 KB Posted
- Solicitation number
- 24-691ISAC-GENCO-B-42825
- Issued by
- Lake County, Illinois
About this file
The document provided is a Taxpayer Identification Number form from the State of Illinois Chief Procurement Office General Services. The related state and local contract opportunity is for IT consulting services for two specific audit assignments for Network Security and Network Penetration Testing in early May 2024, to be conducted for the Illinois Student Assistance Commission (ISAC). The form requires the contractor to provide their legal name, business name, Social Security Number or Employer Identification Number, and legal status. The contract opportunity does not provide details on quantities, response dates, site visits, award dates, or contract term.
The document does not contain information on pricing terms, set asides, incumbents, current environment, funding requirements and sources, or other salient details. It appears to be a required form for the contractor to complete as part of the contracting process with the State of Illinois.
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Other files
| File | Type | Posted |
|---|---|---|
| standard-terms-and-conditions~12.pdf | ||
| Specs - Network Assemt. Testing Specs 4.24.docx | DOCX document |
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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.
State of Illinois Chief Procurement Office General Services 9 Taxpayer Identification Number V.23.2
File details come from the government source that posted it. Updated .