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CCC Bid Submittal _Golden Shore Street Lighting
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CCC Bid Submittal _Golden Shore Street Lighting
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-..-^MM <br />�� <br />Request for Taxpayer <br />Give Forrn <br />Rev. 41!'!2( ) <br />id entffi cation Number and Certification <br />I <br />to the <br />requester. So not <br />xpanme t of me Treasury <br />ntemal Revenue service <br />► Go to www.1rs.gov/ForrneW9 for instructions and the latest information. <br />send to the IRS. <br />1 Name (as shown on your income tax return). Name is retired on this int: do not leave this &:e blank. <br />Juan Carlos Jurado <br />2 Business nameldisregarded entity name, if different Inerr, atwve <br />CONTINENTAL CONSTRUCTION USA LLC <br />m3 <br />Check appropriate box for federal lax clas ification of tfre person virose name is enmmd on Bare 1. Check only one of the <br />4 Exemplwns (codes apply only to <br />Us <br />falb:vinq seven boxes <br />certain entitm. net individuals: sac <br />a <br />p <br />❑•' lnumduallsole wopnelor w ❑ C wpernax, ❑ S Cmporaccr; ❑ Puhrership ❑ TrwVestake <br />instructions on page 3y <br />m <br />a L <br />sawle,mom nber LLC <br />Extmpt pa•rue coo= (if arq <br />�•'1'r0 <br />❑ Limited liability canpary. Enter the tax classification (C=C corporation. S -S corporation. P=Pannerstup)> <br />0 2 <br />NoW Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check <br />Exemption from FATCA reporting <br />H <br />LLC g the LLC is classified as a singte-member LLC that is diuegarded from Ifw owner ogess the owner of me LC is <br />coded an <br />( ➢) <br />a' <br />another LLC that is not disregarded fmm liv owner for U.S. federal tax purposes. Othereise, a single -member LLC that <br />a <br />is disregarded from the owner should check the appropriate box for the tax classification of its owner. <br />o' <br />rp <br />S Address number, street. and apt. or suite no. See instructions <br />( P ) <br />R --" <br />equester's name and address (opaonaq <br />a <br />1395 BRICKELL AVENUE SUITE 780 <br />n <br />S <br />p d <br />"AAMAd 32I3f31e <br />7 List account numbei(s) here (optional) <br />Taxpayer• Identification Number (TIN) <br />Enter <br />your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid <br />social security numbor <br />For individuals, r this this Is d nerallyentity. your soder severity number (SSM. However, for a <br />backup withholding. sole <br />resident alien, sole proprietor, or disregarded entity, see the instructions for Part I. later. For other <br />-m <br />III�'TII'�IfI--TII'—tII <br />entities, <br />it is your employer identification number (EIN)• If you do not have a number, see How to get a <br />�LLLJ <br />I IN, later. <br />Note: If the account's in more than one name. see the instructions for line 1. Also see What Name and <br />Number 7 o Give the Requester for guidelines on whose number to enter. <br />or <br />MUMMUunualE <br />Under penalties of perjury, I certify that: <br />1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and <br />2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding. or (o) I have not been notified by the Internal Revenue <br />Service (IRS) that I am subject to backup withholding is a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am <br />no longer subject to backup withholding; and <br />3. 1 am a U.S. citizen or other U.S. person (defined below); and <br />4. The FATCA code(s) entered on this form (if any) Indicating that I am exempt from FATCA reporting Is correct. <br />Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because <br />you have failed to report sig int t and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid. <br />acquisition or a=Pnm. of se red property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, Payments <br />other than interest and di rdencsf.cl are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. <br />QId" Signature <br />Here u,s. pers( <br />General Ins <br />Section references are to the Internal Revenue Code unless otherwise <br />noted. <br />Future developments. For the latest information about developments <br />related to Form W-9 and its instructions, such as legislation enacted <br />after they were published, go to www.irs.9ov/F6vri <br />Purpose of Form <br />An individual a entity (Form W-9 requester) who is required to file an <br />Information return with the IRS must obtain your correct taxpayer <br />Identification number TIN) which may be your social security number <br />(SSN), individual taxpayer identification number (ITIN), adoption <br />taxpayer identification number (ATIN), or employer identification number <br />(EIN). to report on an information return the amount paid to you. or other <br />amount reportable on at information return. Examples of information <br />returns include. but are not limited to, the followinu. <br />• Form 1099 -INT (interest earned or paid) <br />Date. 06 / / S <br />• Form 1099 -DIV (dividends, including those from stocks or mutual <br />funds) <br />• Form 1099-MISO (various types of income, prizes, awards, or gross <br />proceeds) <br />• Form 1099-8 (stock or mutual fund sales and certain other <br />transactions by brokers) <br />• Form 1099-5 (proceeds from real estate transactions) <br />• Form 1099-K (merchant card and third party network transactions) <br />• Form 1098 Qnome mortgage interest), 1098-E (student loan interest). <br />1098-T (tuition) <br />• Form 1099-C (canceled debt) <br />• Form 1099-A (acquisition or abandonment of secured property) <br />Use Form IN -9 only if you are a U.S. person (including a resident <br />Men), to provide your correct TIN. <br />1/ you do not retum Form W-9 to The requester with a TIN, you might <br />be subject to backup withholding. See What is backup withholding. <br />later. <br />Crit. No. 10231% rwm W-9 fRev. Ie -20181 <br />
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