RFP 2027-03 TENNIS COURT RESURFACING

SEE ATTACHMENT

Office of County Commissioners
Finance Department
130 Jacob’s Way, Suite 302, Clarkesville, GA 30523
706-839-0200 Fax 706-839-0219
accountspayable@habershamga.com
Vendor Application Return Document Checklist (Please Initial)
Required by all vendors:
_____ Vendor Application
_____ W9 Form
Required by vendors providing services (rather than tangible goods):
_____ Copy of your company's most recent Insurance Certificate(s)
_____ Contractor Affidavit (E-Verify)
**********or State Issued Photo ID for individuals with no employees
Optional for all vendors:
_____ACH Payment Approval Form
_____ Bidder List Application
If any required forms are returned incomplete, Active Vendor status will not be granted, and
subsequent payments may be delayed. Please remember that documents requesting notary
verification must be notarized to be considered complete.

Company / Individual Name:
Doing Business As:
Physical Address:
City: State: Zip Code:
Remittance Address:
City: State: Zip Code:
Contact / Representative:
Phone Number:
Email Address:
Primary Industry of Business:
Brief Description of Goods / Services:
Vendor Application
purchasing@habershamga.com
706-839-0200
Clarkesville, GA 30523
130 Jacob's Way, Suite 302
Finance Department
Habersham County BOC

Form W-9(Rev. March 2024)
Request for Taxpayer
Identification Number and Certification
Department of the Treasury
Internal Revenue Service Go to www.irs.gov/FormW9 for instructions and the latest information.
Give form to the
requester. Do not
send to the IRS.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.
Print or type.
See Specific Instructions on page 3.
1 Name of entity/individual. An entry is required.