State of Florida Substitute W-9 Sample Clauses

State of Florida Substitute W-9. As a vendor, you must file a State of Florida Substitute W-9 with the Florida Department of Financial Services (DFS). Failure to do so could result in a delay of payments for services provided to the State. (See below for instructions). Successful Offeror must agree to file the Substitute W-9 with the Department of Financial Services. Failure to do so could result in a delay of rental payments under the Lease Agreement. This process should be completed by the Lessor at the time the Lease Agreement is being executed by the Department of Corrections and the Lessor. For more information, assistance and to obtain a Substitute W-9 form, visit: xxxxx://xxxxxxxx.xxxxxxxxxxxx.xxx Attachment G, Doing Business with the State Page 1 of 2 o Location Information: o A business name for each company location (if different from the company name); o A complete address for each location (including details for sending purchase orders, payments and invoices to each location); o A contact person for each location o Commodity Codes that describe the products/services your company provides (Example: 518-590, Lease Rent of Office Space); o Your Certified Minority Business Enterprise (CMBE) information; o If you were previously registered with the State of Florida as a Vendor (in the State Purchasing System SPURS), you will need to know your state-issued sequence number and PIN to complete the W-9 process. If you do not have your sequence number and PIN, or if you do not remember your Username and Password, please call 866-FLA-EPRO (866-352- 3776) to request this information.
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Related to State of Florida Substitute W-9

  • STATE OF RHODE ISLAND COUNTY OF In _, in said County and State, on this day of , 2016, before me personally appeared , the of Xxxxxxx Realty, LLC, a Rhode Island corporation, to me known and known by me to be the party executing the foregoing instrument on behalf of Xxxxxxx Realty, LLC, and he/she acknowledged said instrument by him/her executed, to be his/her/ free act and deed in said capacity and the free act and deed of Xxxxxxx Realty, LLC. Notary Public My Commission Expires: For the State of Rhode Island Department of Environmental Management Xxxxx X. Xxxxx, Chief Office of Compliance and Inspection

  • Oregon Upon failure of the Obligor to perform under the Agreement, the insurer shall pay on behalf of the Obligor any sums the Obligor is legally obligated to pay and any service that the Obligor is legally obligated to perform. Termination of the reimbursement policy shall not occur until a notice of termination has been mailed or delivered to the Director of the Department of Consumer and Business Services. This notice must be mailed or delivered at least 30 days prior to the date of termination. CANCELLATION section is amended as follows: You, the Service Agreement Holder may apply for reimbursement directly to the insurer if a refund or credit is not paid before the 46th day after the date on which Your Agreement is returned to the provider. ARBITRATION section of this Agreement is removed.

  • 2023 SEIU Local 503/State of Oregon CBA 65 certificate issued by the duly licensed attending physician that the employee is physically and/or mentally able to perform the duties of the position.

  • State of Texas Franchise Tax By signature hereon, the bidder hereby certifies that he/she is not currently delinquent in the payment of any franchise taxes owed the State of Texas under Chapter 171, Tax Code.

  • Utah This Agreement is subject to limited regulation by the Utah Insurance Department. To file a complaint, contact the Utah Insurance Department. Coverage afforded under this Agreement is not guaranteed by the Utah Property and Casualty Guaranty Association. Proof of loss should be furnished by You to the Administrator as soon as reasonably possible. Failure to furnish such notice or proof within the time required by this Agreement does not invalidate or reduce a claim. CANCELLATION section is amended as follows: We can cancel this Agreement during the first sixty (60) days of the initial annual term by mailing to You a notice of cancellation at least thirty (30) days prior to the effective date of cancellation except that We can also cancel this Agreement during such time period for non-payment of premium by mailing You a notice of cancellation at least ten (10) days prior to the effective date of cancellation. After sixty (60) days have elapsed, We may cancel this Agreement by mailing a cancellation notice to You at least ten (10) days prior to the cancellation date for non-payment of premium and thirty (30) days prior to the cancellation date for any of the following reasons: (a) material misrepresentation, (b) substantial change in the risk assumed, unless the We should reasonably have foreseen the change or contemplated the risk when entering into the Agreement or (c) substantial breaches of contractual duties, conditions, or warranties. The notice of cancellation must be in writing to You at Your last known address and contain all of the following: (1) the Agreement number, (2) the date of notice, (3) the effective date of the cancellation and, (4) a detailed explanation of the reason for cancellation. Any matter in dispute between You and the company may be subject to arbitration as an alternative to court action pursuant to the rules of (the American Arbitration Association or other recognized arbitrator), a copy of which is available on request from the company. Any decision reached by arbitration shall be binding upon both You and the company. The arbitration award may include attorney's fees if allowed by state law and may be entered as a judgment in any court of proper jurisdiction.

  • Florida If You cancel this Agreement, return of premium shall be based upon ninety percent (90%) of the unearned pro-rata premium less any claims that have been paid or less the cost of repairs made on Your behalf. If this Agreement is cancelled by the Provider or Administrator, return of premium shall be based upon one hundred percent (100%) of the unearned pro-rata premium less any claims that have been made or less the cost of repairs made on Your behalf. The rate charged for this service contract is not subject to regulation by the Florida Office of Insurance Regulation. ARBITRATION section of this Agreement is removed.

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  • Michigan If performance under this Agreement is interrupted because of a strike or work stoppage at Our place of business, the effective period of the Agreement shall be extended for the period of the strike or work stoppage.

  • Laws of the State of New York The Contractor shall comply with all of the requirements set forth in Exhibit C hereto.

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