Limited Liability Company Other. Employer Identification and/or Social Security Number NOTE: Title 26, United States Code sections 6041 and IRS reporting rules require non-corporate recipients of $600.00 or more to furnish their taxpayer identification number to the payer. These rules also provide that a penalty may be imposed for failure to furnish the taxpayer identification number. In order to comply with these rules, the District requires your federal tax identification number or Social Security number, whichever is applicable. W ORKERS’ COMPENSATION CERTIFICATION Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: ▪ By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. ▪ By securing from the Director of Industrial Relations a certificate of consent to self-insure, which may be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability to self-insure and to pay any compensation that may become due to its employees. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the Work of this Agreement. Date: Name of Consultant or Company: Signature: Print Name and Title: (In accordance with Article 5 – commencing at Section 1860, Chapter 1, part 7, Division 2 of the Labor Code, the above certificate must be signed and filed with the District prior to performing any Work under this Agreement.)

Examples of Limited Liability Company Other in a sentence

No. TYPE OF BUSINESS ENTITY (check one): Individual/Sole Proprietor Partnership Corporation (may require 2 signatures) Limited Liability Company Other (please specify: ) Signature of Authorized Person Print Name and Title Additional Signature (if required) Print Name and Title EXHIBIT A PROFESSIONAL SERVICES AGREEMENT SCOPE OF SERVICES 1.
PROSPECTIVE PURCHASER INFORMATION Name of Prospective Purchaser Individual Corporation Trust Partnership Limited Liability Company Other (Specify below) Physical Address (For Overnight Delivery) Contact Person and Title Telephone Number Fax Number E-mail Address IN WITNESS WHEREOF, the undersigned declares under penalty of perjury under the laws of the United States of America that the foregoing is true and correct, and has executed this Certification as of .
INVESTMENT ACCOUNT TYPE (check one):  Individual;  Joint Tenants with Right of Survivorship (JTWROS);    Tenants in Common;  Retirement Account;  Trust (revocable);  Trust (irrevocable);  Corporation;  Partnership; Limited Liability Company; Other: INVESTMENT AMOUNT INFORMATION Please make investments in whole share increments.
Corporation, State: Limited Liability Company Other: ORKERS’ COMPENSATION CERTIFICATION Labor Code Section 3700 in relevant part provides: Every employer except the State shall secure the payment of compensation in one or more of the following ways: • By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State.
Superintendent of Business Services Dated: , 20 [Consultant] By: Print Name: Print Title: Information regarding Consultant: Type of Business Entity: Individual Sole Proprietorship Partnership Limited Partnership Corporation Limited Liability Company Other: Employer Identification and/or Social Security NumberNOTE: United States Code, title 26, sections 6041 and 6109 require non- corporate recipients of $600 or more to furnish their taxpayer identification number to the payer.

More Definitions of Limited Liability Company Other

Limited Liability Company Other. Employer Identification and/or Social Security Number NOTE: Section 6041 of the Internal Revenue Code (26 U.S.C. 6041) and Section 1.6041-1 of Title 26 of the Code of Federal Regulations (26 C.F.R. 1.6041-1) requires the recipients of $600.00 or more to furnish their taxpayer information to the payer. In order to comply with these requirements, the District requires the Vendor to furnish the information requested in this section. CRIMINAL BACKGROUND INVESTIGATION/FINGERPRINTING CERTIFICATION The undersigned does hereby certify to the Governing Board of the District as follows: That I am a representative of the Vendor currently under contract with the District; that I am familiar with the facts herein certified; and that I am authorized and qualified to execute this Certificate on behalf of Vendor. Vendor certifies that it has taken at least one of the following actions with respect to the Agreement (check all that apply):  The Vendor is a sole proprietor and intends to comply with the fingerprinting requirements of Education Code section 45125.1(k) with respect to all Vendor’s employees who may have contact with District pupils in the course of performing under the Agreement, and hereby agrees to the District’s preparation and submission of fingerprints such that the California Department of Justice may determine that none of those employees has been convicted of a felony, as that term is defined in Education Code section 45122.1. No work shall commence until such determination by DOJ has been made. As an authorized District official, I am familiar with the facts herein certified, and am authorized to execute this Certificate on behalf of the District and undertake to prepare and submit Vendor’s fingerprints as if he or she was an employee of the District. Date: District Representative’s Name and Title: District Representative’s Signature:  The Vendor, who is not a sole proprietor, has complied with the fingerprinting requirements of Education Code section 45125.1 with respect to all Vendor’s employees and all of its subcontractors’ employees who may have contact with District pupils in the course of performing under the Agreement, and the California Department of Justice has determined that none of those employees has been convicted of a felony, as that term is defined in Education Code section 45122.1. A complete and accurate list of Vendor's employees and of all of its subcontractors' employees who may come in contact with District pupils during the c...

Limited Liability Company Other. Contractor ID: Employer Identification and/or Social Security Number: NA NOTE: Section 6041 of the Internal Revenue Code (26 U.S.C. 6041) and Section 1.6041-1 of Title 26 of the Code of Federal Regulations (26 C.F.R. 1.6041-1) requires the recipients of $600.00 or more to furnish their taxpayer information to the payer. In order to comply with these requirements, the District requires the Contractor to furnish the information requested in this section.

Limited Liability Company Other definition

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