Common use of Express Waiver: I desire to expressly Clause in Contracts

Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Signature Date 09/11/2020 Confidentiality Claim Form rev 02272019 Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx (xxxxxx, xxxxxx, xxx xxx. or suite no.) See instructions. 000 XXXXXXXXX XXXXX UNION 6 City, state, and ZIP code NEW JERSEY 07083 7 List account number(s) here (optional) Requester’s name and address (optional) Part I Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Under penalties of perjury, I certify that:

Appears in 1 contract

Samples: Tips Vendor Agreement

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Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Signature Date 09/11/2020 Confidentiality Claim Form rev 02272019 10012020RP Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX Aerowave Technologies, LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx 5 Address (xxxxxxnumber, xxxxxxstreet, xxx xxxand apt. or suite no.) See instructions. 000 XXXXXXXXX XXXXX UNION X Xxxxxx Xxxxx Xxxx #000 6 City, state, and ZIP code NEW JERSEY 07083 Xxxxxxxxxx, XX 00000 7 List account number(s) here (optional) Requester’s name and address (optional) Part I Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Part II Certification Under penalties of perjury, I certify that:

Appears in 1 contract

Samples: Tips Vendor Agreement

Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Signature Date 09/11/2020 January 27, 2021 Confidentiality Claim Form rev 02272019 10012020RP Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX RobotLAB Inc. 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx 5 Address (xxxxxxnumber, xxxxxxstreet, xxx xxxand apt. or suite no.) See instructions. 000 XXXXXXXXX XXXXX UNION 6 City, state, and ZIP code NEW JERSEY 07083 7 List account number(s) here (optional) Requester’s name and address (optional) Part I Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Under penalties of perjury, I certify that:.

Appears in 1 contract

Samples: Tips Vendor Agreement

Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Signature Date 09/11/2020 Confidentiality Claim 02/10/2021 aim Form rev 02272019 10012020RP Confidentiality Cl Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX Medzon 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx 5 Address (xxxxxxnumber, xxxxxxstreet, xxx xxxand apt. or suite no.) See instructions. 0000 X XXXXX XXXXXXX XXXX XXX 000 XXXXXXXXX XXXXX UNION 6 City, state, and ZIP code NEW JERSEY 07083 XXXXXXX XX 00000 7 List account number(s) here (optional) Requester’s name and address (optional) Part I Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Part II Certification Under penalties of perjury, I certify that:

Appears in 1 contract

Samples: Vendor Agreement

Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Signature Date 09/11/2020 Confidentiality Claim 02/10/2021 aim Form rev 02272019 10012020RP Confidentiality Cl Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX Medzon 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx (xxxxxx, xxxxxx, xxx xxx. or suite no.) See instructions. 0000 X XXXXX XXXXXXX XXXX XXX 000 XXXXXXXXX XXXXX UNION 6 City, state, and ZIP code NEW JERSEY 07083 ANAHEIM CA 92806 7 List account number(s) here (optional) Requester’s name and address (optional) Part I Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Under penalties of perjury, I certify that:

Appears in 1 contract

Samples: Vendor Agreement

Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Signature Date 09/11/2020 Confidentiality Claim Form rev 02272019 Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx 5 Address (xxxxxxnumber, xxxxxxstreet, xxx xxxand apt. or suite no.) See instructions. 000 XXXXXXXXX XXXXX UNION 6 CityXXXXX 0 Xxxx, statexxxxx, and ZIP code NEW JERSEY 07083 7 List account number(s) here (optional) Requester’s name and address (optional) Part I Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Part II Certification Under penalties of perjury, I certify that:

Appears in 1 contract

Samples: Vendor Agreement

Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Signature Date 09/11/2020 Confidentiality Claim Form rev 02272019 Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX TEXAS MEDICAL CENTER SUPPLY LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a ▶ p Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx 5 Address (xxxxxxnumber, xxxxxxstreet, xxx xxxand apt. or suite no.) See instructions. 000 XXXXXXXXX XXXXX UNION 0000 XXXXXXX XX. #C 6 City, state, and ZIP code NEW JERSEY 07083 XXXXXXX XXXXX 00000 7 List account number(s) here (optional) Requester’s name and address (optional) Part I Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Part II Certification Under penalties of perjury, I certify that:

Appears in 1 contract

Samples: Tips Vendor Agreement

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Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Signature Date 09/11/2020 Confidentiality Claim Form rev 02272019 Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX SchoolMint Inc. 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx (xxxxxx, xxxxxx, xxx xxx. or suite no.) See instructions. Requester’s name and address (optional) 000 XXXXXXXXX XXXXX UNION X Xxxxxxxx Xxxxxx, Suite 100 6 City, state, and ZIP code NEW JERSEY 07083 Lafayette, LA 70501 7 List account number(s) here (optional) Requester’s name and address (optional) REMIT TO: 00000 XX 00 Xxx, # 000 Miami, FL 33015 Part I Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Under penalties of perjury, I certify that:

Appears in 1 contract

Samples: Vendor Agreement

Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Signature Date 09/11/2020 1/12/21 Confidentiality Claim Form rev 02272019 10012020RP Form W-9 (Rev. October 2018November 2017) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX Xxxx One Manufacturing, Ltd 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a P Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx 5 Address (xxxxxxnumber, xxxxxxstreet, xxx xxxand apt. or suite no.) See instructions. 000 XXXXXXXXX XXXXX UNION 6 CityXxxxxxxxxx Xxxxx 0 Xxxx, statexxxxx, and ZIP code NEW JERSEY 07083 Xxxxxxx, Xxxx 00000 7 List account number(s) here (optional) Requester’s name and address (optional) Part I Social security number – – Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Under penalties of perjury, I certify that:Employer identification number

Appears in 1 contract

Samples: tips-usa.com

Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. 01/11/2021 Signature Date 09/11/2020 Confidentiality Claim Form rev 02272019 10012020RP Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX Perry Weather Consulting Inc. 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx 5 Address (xxxxxxnumber, xxxxxxstreet, xxx xxxand apt. or suite no.) See instructions. 000 XXXXXXXXX XXXXX UNION 0000 Xxxxx Xxxxxx 6 City, state, and ZIP code NEW JERSEY 07083 Xxxxxx, XX 00000 7 List account number(s) here (optional) Requester’s name and address (optional) Part I Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Under penalties of perjury, I certify that:

Appears in 1 contract

Samples: Tips Vendor Agreement

Express Waiver: I desire to expressly. waive any claim of confidentiality as to any and all information contained within our response to the competitive procurement process (e.g. RFP, CSP, Bid, RFQ, etc.) by completing the following and submitting this sheet with our response to Education Service Center Region 8 and TIPS. Signature Date 09/11/2020 08/20/20 Confidentiality Claim Form rev 02272019 Form W-9 (Rev. October 2018November 2017) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. XXXXXX XXXXXXXX EMS LINQ, Inc. 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. XXXXXX IMPORT LLC 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): X Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 0 Xxxxxxx 5 Address (xxxxxxnumber, xxxxxxstreet, xxx xxxand apt. or suite no.) See instructions. 0000 Xxxxxxxxxxxx Xxxx., Xxxxx 000 XXXXXXXXX XXXXX UNION 6 City, state, and ZIP code NEW JERSEY 07083 Xxxxxxxxxx, XX 00000 7 List account number(s) here (optional) Requester’s name and address (optional) Part I Social security number – – Taxpayer Identification Number (TIN) Employer identification number Part II Certification Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Under penalties of perjury, I certify that:Employer identification number

Appears in 1 contract

Samples: Tips Vendor Agreement

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