Contractor Information and Certification Clause Samples
The "Contractor Information and Certification" clause requires the contractor to provide specific details about their business and to formally affirm the accuracy and completeness of this information. Typically, this includes supplying legal business names, addresses, tax identification numbers, and any relevant licenses or certifications. By mandating this disclosure and certification, the clause ensures that the contracting party can verify the contractor’s legitimacy and compliance with legal or regulatory requirements, thereby reducing the risk of fraud or misrepresentation.
Contractor Information and Certification. Contractor shall provide Contractor's Social Security number or Contractor’s federal tax ID number and the additional information set forth below. This information is requested pursuant to ORS 305.385 and OAR 125-246-0330. Social Security numbers provided pursuant to this paragraph will be used for the administration of state, federal and local tax laws. Legal Name: ▇▇▇▇▇▇▇▇▇▇ Bros, LLC Address, City, State and ZIP Code: ▇▇▇▇ ▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇. Suite E. Portland, Or 97220. Citizenship, if applicable: Non-resident alien? ☐ Yes X No Business Designation (check one): Professional Corporation Partnership Limited Partnership Limited Liability Company Limited Liability Partnership Sole Proprietorship Other Federal Tax ID#: ▇▇-▇▇▇▇▇▇▇ Oregon CCB License Number: 222458 City may report the information set forth above in conjunction with any reports it makes to the Internal Revenue Service (IRS) under the name and Social Security number or taxpayer identification number provided. The individual signing on behalf of Contractor hereby certifies and swears under penalty of perjury that: (a) the number shown on this form is Contractor’s correct taxpayer identification;
(b) Contractor is not subject to backup withholding because (i) Contractor is exempt from backup withholding, (ii) Contractor has not been notified by the IRS that Contractor is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified Contractor that Contractor is no longer subject to backup withholding; (c) s/he is authorized to act on behalf of Contractor, s/he has authority and knowledge regarding Contractor’s payment of taxes, and to the best of her/his knowledge, (d) Contractor is not in violation of any Oregon tax laws named in ORS 305.380(4). Contractor is an independent contractor as defined in ORS 670.600; and (e) the supplied Contractor data is true and accurate. Contractor has the power and authority to enter into and perform this Contract. The persons executing this Contract on behalf of Contractor have the actual authority to bind Contractor to the terms of this Contract. ▇▇▇ ▇▇▇▇▇▇ Division President-Oregon 1/2/2024 FOR ▇▇▇▇▇▇▇▇▇▇ Bros, LLC FOR THE CITY OF ▇▇▇▇▇:
Contractor Information and Certification