TIN form blank~58.docx

This is a Taxpayer Identification Number (TIN) form issued by the State of Illinois in conjunction with a 5-Day Janitorial Services contract opportunity (L6277) located at 1107 W DeYoung Street, Marion, Illinois 62223. The form serves as a certification and documentation requirement for bidders responding to this procurement opportunity. Prospective vendors must complete this form to provide their correct taxpayer identification information and certify their tax compliance status with the Internal Revenue Service. The form accommodates various entity types including individuals, sole proprietors, partnerships, corporations, limited liability companies, and tax-exempt organizations, with specific instructions provided for each classification to ensure accurate identification number reporting.

The form requires bidders to declare their legal status and provide either a Social Security Number or Employer Identification Number depending on their business structure. Notably, this procurement is designated as a Small Business Set Aside Program opportunity, restricting eligibility to qualified small business vendors only. The form indicates that corporations providing or billing medical and/or health care services must attach IRS acceptance letters (CP261 or CP277), while all other entities must provide their business name and corresponding EIN as registered with the Internal Revenue Service. Completion and submission of this TIN form, signed by an authorized representative with the current date, is a mandatory requirement for participation in this janitorial services bidding process.