New Hampshire Code of Administrative Rules
Adm - Commissioner, Department of Administrative Services
Chapter Adm 600 - PROCUREMENT AND PROPERTY RULES
Part Adm 603 - VENDOR CODE NUMBER REQUIREMENTS
Section Adm 603.02 - Application Procedure for Bidders, Other Purchasing Vendors or Prospective Bidders or Other Purchasing Vendors Seeking to Obtain a Vendor Code Number
Universal Citation: NH Admin Rules Adm 603.02
Current through Register No. 12, March 21, 2024
(a) To apply for a vendor code number under this part, a bidder, a prospective bidder, an other purchasing vendor, or a prospective other purchasing vendor shall submit to the division:
(1) A fully executed vendor code
number - W-9 application form; and
(2) A fully executed W-9 form as described in
Adm
603.03 below.
(b) On the vendor code number - W-9 application form noted in (a) above, the applicant shall provide the following information in the spaces indicated on the form:
(1) The applicant's name as shown on the
applicant's federal income tax return, business address, telephone number and
e-mail address;
(2) The applicant's
web site address, mobile telephone number, toll free number; and fax number, if
any;
(3) Any business name of the
applicant, if different from the name identified in (1) above;
(4) The name which is to be used in making
payments, if any;
(5) The name of
the particular person, if any, whom the applicant wishes the division to list
as a contact and, if different from number (1) above, the business address,
telephone number and e-mail address of the contact person;
(6) Whether the address to which any billing
information or payments, if any, are to be remitted is the same as the address
in (1) above and, if not, the address for remittance;
(7) The applicant's taxpayer identification
number as used on United States Internal Revenue Service tax returns, either in
the form of a social security number or federal identification number
(EIN/FIN);
(8) Whether or not the
applicant is a United States business;
(9) The state, if any, in which the applicant
has been incorporated or organized;
(10) Whether or not the applicant has a
principal place of business in New Hampshire;
(11) Whether or not, if required by law, the
applicant is registered with the New Hampshire secretary of state as a New
Hampshire business;
(12) Whether or
not, if the applicant is an out-of-state business providing services in the
state of New Hampshire, the applicant is registered to do business in the state
of New Hampshire;
(13) If
registered with the New Hampshire secretary of state, whether or not the
applicant is in good standing with the office of the secretary of
state;
(14) Whether the applicant
is:
a. An individual or sole
proprietorship;
b. A
corporation;
c. A
partnership;
d. A limited liability
company and, if so, whether the federal tax classification of the company is
either as:
1. A corporation;
2. A partnership; or
3. A disregarded entity under 26 CFR part 301
of the United States Internal Revenue regulations;
e. A governmental entity;
f. An estate or trust; or
g. An other form of organization;
(15) Whether the applicant is:
a. A non-profit organization and, if so, a
copy of the organization's tax exemption document;
b. A legal services provider; or
c. A health care provider;
(16) Whether the applicant's
principal activities are as:
a. A service
provider;
b. A product or
merchandise provider; or
c. Another
type of provider;
(17)
An identification of the commodities or services which the applicant proposes
to provide to the state, identified by the names of the commodities or services
and the commodity code number of those commodities or services;
(18) Any special instructions, explanations,
international phone numbers, or comments which the applicant wishes to
provide;
(19)The signature of the
applicant on a statement provided on the form stating that:
a. The person submitting the form is duly
authorized to do so on behalf of the applicant;
b. The information provided on the vendor's
application form is true, accurate and complete;
c. The applicant certifies to the foregoing
subject to penalty of perjury under the laws of the United States and subject
to the applicable penalties of
RSA
641:1 through 3; and
d. The applicant acknowledges that, pursuant
to RSA
641:3, knowingly making a false
representation on the application form is punishable as a crime; and
(20) The name of the person
signing the form, his or her position in the applicant business and the date of
the signature described in (19) above.
#4985, eff 11-19-90; ss by #6355-A, eff 11-20-96; ss by #7103, eff 9-23-99; ss by #8310, eff 5-11-05; ss by #10364, eff 7-1-13
The amended version of this section by New Hampshire Register Volume 35, Number 23, eff.5/16/2015 is not yet available.
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