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: 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. EXHIBIT A Project Inspection Proposal for Meadow Homes Elementary School (DSA #01-121400) Project Inspection Proposal for Mt. Diablo Elementary School (DSA #01-121407) Project Inspection Proposal for Rio Vista Elementary School (DSA #01-121440) FINGERPRINTING/CRIMINAL BACKGROUND INVESTIGATION CERTIFICATION One of the three boxes below must be checked, with the corresponding certification provided, and this form attached to the Agreement for Project Inspection Services (“Agreement”): 🞏 [TO BE COMPLETED BY AUTHORIZED DISTRICT EMPLOYEE ONLY.] Inspector’s employees will have only limited contact, if any, with District pupils and the District will take appropriate steps to protect the safety of any pupils that may come in contact with Inspector’s employees so that the fingerprinting and criminal background investigation requirements of Education Code section 45125.1 shall not apply to Inspector for the services under this Agreement. 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. (Education Code § 45125.1 (c).) Date: District Representative’s Name and Title: Signature: 🞏 The fingerprinting and criminal background investigation requirements of Education Code section 45125.1 apply to Inspector’s services under this Agreement and Inspector certifies its compliance with these provisions as follows: “Consultant certifies that the Consultant has complied with the fingerprinting and criminal background investigation requirements of Education Code section 45125.1 with respect to all Consultant’s employees, subcontractors, agents, and subcontractors’ employees or agents (“Employees”) regardless of whether those Employees are paid or unpaid, concurrently employed by the District, or acting as independent contractors of the Consultant, who may have contact with District pupils in the course of providing services pursuant to the Agreement, and the California Department ...

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 Consultant to furnish the information requested in this section. EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONSULTANT WORKERS’ 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 satisfactory proof 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 Services of this Agreement. Date: Name of Consultant: 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 Services under this Agreement.)

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 Contractor to furnish the information requested in this section. EXHIBIT “A” DESCRIPTION OF SERVICES TO BE PERFORMED BY CONTRACTOR Contractor’s entire Proposal is not made part of this Agreement. Base Bid Work District-Wide Floor Cleaning & Waxing, Carpet Shampooing, Exterior Glazing Cleaning, & Power Washing Walls Contractor will provide floor cleaning, waxing, shampooing, exterior wall power washing and exterior glazing cleaning. This scope of work applies to all areas listed in the Building List and Square Footages for Cleaning Services set forth the in greater detail below. Contractor will provide waste-removal operations to comply with local laws and ordinances including Federal and Local Environmental and Antipollution regulations. Contractor will employ professional cleaning service for final cleaning. Contractor will clean all surfaces or identified spaces to a condition as referenced in this description of services and scope of work requirements. Contractor will be responsible for moving any furniture in the way of cleaning. Contractor is responsible to provide mechanical boom lifts, and suspended platforms that conform to structural and OSHA requirements, for cleaning as needed to complete the cleaning Services set forth in this Agreement.

Limited Liability Company Other definition

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