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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date 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. Reading Plus LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X Xxxxx Xx., Xxxxx 000 0 Xxxx, xxxxx, and ZIP code Xxxxxxxx, 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

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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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date 10/12/20 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. Reading Plus Arkansas K12 LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. White River Services and Solutions 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X 0000 Xxxxx Xx.Xx 6 City, Xxxxx 000 0 Xxxx, xxxxxstate, and ZIP code XxxxxxxxXxxxxxxxxx, 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. Xxxxx Xxxxxx Xxxxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Xxxxxxxx 3-18-21 Signature Date: 2020.10.14 10:15:11 -04'002021.03.18 13:42:06 -05'00' Date Confidentiality Claim Form rev 02272019 10012020RP W-9 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. Reading Plus LLC ALLIED FIRE PROTECTION-SA, LP 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X Xxxxx Xx., Xxxxx 000 0000 XXXXXX XX 0 Xxxx, xxxxx, and ZIP code Xxxxxxxx, XXXXXXXX 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. Xxx Xxxxx Xxxxxx Digitally signed by Xxx Xxxxx Xxxxxx 10/14/2020 11/13/2020 Signature Date: 2020.10.14 10:15:11 -04'002020.11.13 10:37:57 -06'00' Date Confidentiality Claim Form rev 02272019 Xxxxxxxxxxxxxxxxxx.xxx 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. Reading Plus Director's Assistant, LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) C Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a C S 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X Xxxxx Xx.0000 Xxxxxx Xxxx 6 City, Xxxxx 000 0 Xxxx, xxxxxstate, and ZIP code XxxxxxxxXxxxxx, 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. Xxxxx Xxxxxx XxXxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 XxXxxx DN: cn=Xxxxx XxXxxx, o=E-Rate Elite Services, Inc, ou, xxxxx=xxxxxxx@xxxxxxxxxx.xxx, c=US 4/12/2021 Signature Date: 2020.10.14 10:15:11 2021.04.12 14:23:10 -04'00' Date 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. Reading Plus LLC E-Rate Elite Services, Inc. 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X Xxxxx Xx., 00000 Xxx Xxx Xxxx. Xxxxx 000 0 Xxxx6 City, xxxxxstate, and ZIP code XxxxxxxxXxxxxx Xxxxx, 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date 080/281/2/210/220020 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. Reading Plus ShareSTAFF LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C S 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X X. Xxxxx Xx.Ave 6 City, Xxxxx 000 0 Xxxx, xxxxxstate, and ZIP code Xxxxxxxx, 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:00000

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. Xxxxx Xxxxxx XxXxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 XxXxxx DN: cn=Xxxxx XxXxxx, o=E-Rate Elite Services, Inc, ou, xxxxx=xxxxxxx@xxxxxxxxxx.xxx, c=US 4/12/2021 Signature Date: 2020.10.14 10:15:11 2021.04.12 14:23:10 -04'00' Date 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. Reading Plus LLC E-Rate Elite Services, Inc. 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X Xxxxx Xx., 00000 Xxx Xxx Xxxx. Xxxxx 000 0 Xxxx6 City, xxxxxstate, and ZIP code XxxxxxxxXxxxxx Xxxxx, 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date February 26, 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. Reading Plus LLC SOUTHERN COMPUTER WAREHOUSE INC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C S 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 0000 X Xxxxx Xx.XXXXXXXX XXXX XXXX 300 STE 106 6 City, Xxxxx 000 0 Xxxx, xxxxxstate, and ZIP code Xxxxxxxx, XXXXXXXX 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date DateFebruary 25, 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. Reading Plus QYK BRANDS LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) C Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X Xxxxx Xx00000 XXXXXXX XXX., Xxxxx 000 0 Xxxx, xxxxx, and ZIP code Xxxxxxxx, 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. Xxxxx Xxxx Xxxxxx Digitally signed by Xxxxx Xxxx Xxxxxx 10/14/2020 09-13-2020 Signature Date: 2020.10.14 10:15:11 -04'002020.09.13 14:22:30 -07'00' Date 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. Reading Plus Technologisty LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X Xxxxx Xx.0000 Xxxxxxxx Xxxxx, Xxxxx Xxx 000 0 Xxxx, xxxxx, and ZIP code XxxxxxxxXxx Xxxxx, XX 00000 XX, 00000-0000 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date DateFebruary 25, 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. Reading Plus QYK BRANDS LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C 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.) 5 Address 0 Xxxxxxx (numberxxxxxx, streetxxxxxx, and aptxxx xxx. or suite no.) See instructions. 000 X Xxxxx Xx00000 XXXXXXX XXX., Xxxxx 000 0 Xxxx, xxxxx, and ZIP code Xxxxxxxx, 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. Xxxxx Xxxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Xxxxxx 3/10/2021 Signature Date: 2020.10.14 10:15:11 -04'002021.03.10 07:43:31 -06'00' Date 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. Reading Plus LLC BLUE CHIP WHOLESALE SUPPLY, INC. 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X Xxxxx Xx., Xxxxx 000 0000 XXXXX XXXXXX XX 0 Xxxx, xxxxx, and ZIP code XxxxxxxxXXXXXXX, 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date July 17, 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. Reading Plus XXXXX XXXX XXXXXX & XXXXXX, LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. BERRYDUNN 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X Xxxxx Xx.XXXXXX XXXXXX, Xxxxx 000 XXXXX 0 0 Xxxx, xxxxx, and ZIP code XxxxxxxxXXXXXXXX, 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

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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. Xxxxx Xxxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Xxxxxx 3/10/2021 Signature Date: 2020.10.14 10:15:11 -04'002021.03.10 07:43:31 -06'00' Date 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. Reading Plus LLC BLUE CHIP WHOLESALE SUPPLY, INC. 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C 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.) 5 Address 0 Xxxxxxx (numberxxxxxx, streetxxxxxx, and aptxxx xxx. or suite no.) See instructions. 000 X Xxxxx Xx.0000 XXXXX XXXXXX XX 6 City, Xxxxx 000 0 Xxxx, xxxxxstate, and ZIP code XxxxxxxxLEANDER, XX 00000 TX 78641 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' 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. Reading Plus LLC 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 C 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.) 5 Address 0 Xxxxxxx (numberxxxxxx, streetxxxxxx, and aptxxx xxx. or suite no.) See instructions. 000 X Xxxxx Xx.XXXXXXXXX XXXXX UNION 6 City, Xxxxx 000 0 Xxxx, xxxxxstate, and ZIP code Xxxxxxxx, XX 00000 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date 3/18/2021 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. Reading Plus LLC XXXXX XXXXXXX 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. FIRST DEFENSE SOLUTIONS, 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 0000 XXXXXXX XXXX #000 X Xxxxx Xx.6 City, Xxxxx 000 0 Xxxx, xxxxxstate, and ZIP code XxxxxxxxXXXXX, 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date 3/18/2021 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. Reading Plus LLC XXXXX XXXXXXX 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. FIRST DEFENSE SOLUTIONS, 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 0000 XXXXXXX XXXX #000 X Xxxxx Xx.6 City, Xxxxx 000 0 Xxxx, xxxxxstate, and ZIP code XxxxxxxxXXXXX, 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date Date2-21-2021 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. Reading Plus SUPPLY STORE NOW LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C 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.) 5 Address 0 Xxxxxxx (numberxxxxxx, streetxxxxxx, and aptxxx xxx. or suite no.) See instructions. 000 X Xxxxx Xx., Xxxxx 000 0 Xxxx, xxxxx, and ZIP code Xxxxxxxx, 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: 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date 10/12/20 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. Reading Plus Arkansas K12 LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. White River Services and Solutions 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): 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 C 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.) 5 Address 0 Xxxxxxx (numberxxxxxx, streetxxxxxx, and aptxxx xxx. or suite no.) See instructions. 000 X 0000 Xxxxx Xx.Xx 6 City, Xxxxx 000 0 Xxxx, xxxxxstate, and ZIP code XxxxxxxxBatesville, XX 00000 AR 72501 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 Xxxxx Xxxxxx XxXxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature XxXxxxx DN: C=US, X=xxxxxxxx@xxxxxx.xxx, O="Xxxxxx Security Systems, Inc. ", OU=Controller/Director of Human Resources, CN=Xxxxx XxXxxxx Date: 2020.10.14 10:15:11 -04'002021.03.16 12:28:21-05'00' Date 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. Reading Plus LLC Xxxxxx Security Systems, Inc. 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C 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.) 5 Address (number, street, and apt. or suite no.) See instructions. 000 X 00000 Xxxxxxxx Xxxxx Xx., Xxxxx 000 0 Xxxx, xxxxx, and ZIP code XxxxxxxxXxxxxxx, 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. Xxxxx Xxxxxx Digitally signed by Xxxxx Xxxxxx 10/14/2020 Signature Date: 2020.10.14 10:15:11 -04'00' Date 080/281/2/210/220020 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. Reading Plus ShareSTAFF LLC 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 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): 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 C S 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.) 5 Address 0 Xxxxxxx (numberxxxxxx, streetxxxxxx, and aptxxx xxx. or suite no.) See instructions. 000 X X. Xxxxx Xx.Ave 6 City, Xxxxx 000 0 Xxxx, xxxxxstate, and ZIP code XxxxxxxxStockton, 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:CA 95203

Appears in 1 contract

Samples: Tips Vendor Agreement

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