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W-9 Form will be required prior to adding your company to Lee County's
Vendor/Bidder's List. Click here to obtain the W-9 form.
Tax Filing Status: Check the box that applies to you and
complete the appropriate fields below.
Click here for further
explanation.
CHECK WHAT APPLIES:
Definitions of DBE (Disadvantaged Business Enterprise):
MUST BE AN AMERICAN CITIZEN AND ANY OF THE FOLLOWING
“Black American” a person having origin in any of
the Black racial groups of Africa;
“Hispanic American” a person of Mexican, Puerto Rican,
Cuban, Central or South American, or other Spanish cultures of
origins, regardless of race;
“Native American” a person who are American Indians,
Eskimos, Aleuts, or Native Hawaiians;
“Asian-Pacific American” a person whose origins are
from Japan, China, Taiwan, Korea, Vietnam, Laos, Cambodia, thePhilippines,
Samoa, Guam, the U.S. Trust Territories of the Pacific, and Northern
Marians, and
“Asian-Indian American” a person whose origins are
from India, Pakistan, and Bangladesh.
Woman Owned Business Enterprise –Any American Woman, owned
by woman or women of any race
Not Applicable |
Click here for Explanation/Requirements. |
| Remittance Address (if different than above) |
IMMIGRATION LAWS:
Lee County will not intentionally award County contracts
to any contract/vendor who knowingly employs unauthorized alien workers,
constituting a violation of the employment provisions contacined in
8 U.S.C Section 1324a(e) Section 274A(e) of the Immigration and Nationalaity
Acts (INA).
Hold Harmless and Indemnity Clause:
To the fullest extent permitted by applicable law,
Contractor shall protect, defend, indemnify, save, and hold the County,
the Board of County Commissionors, its agents, officials, and employees
harmless from and against any and all claims, demands, fines, loss or
destruction of property, liabilities, damages, for claims based on the
negligence, misconduct, or omissions of the Contractor resulting from
the Contractor's work as further described in this contract, which may
arise in favor of any person or persons resulting from the Contractor's
performance or non-performance of its obligations under this contract
except any damages arising out of personal injury or property claims
from third parties caused solely by the negligence, omission(s) or willful
misconduct of the County, its officials, commissions, employees or agents,
subject to the limitations as set out in Florida general law, Section
768.28, Florida Statutes, as amended. Further, Contrator hereby agrees
to indemnify the County for all reasonable expenses and attorney's fees
incurred by or imposed upon the County in connection therewith for any
loss, damage, injury, or other casualty. Contractor additionally agrees
that the County may employ an attorney of the County's own selection
to appear and defend any such action, on behalf of the County, at expense
of the Contractor. The Contractor further agrees to pay all reasonable
expenses and attorney's fees incurred by the County in establishing
the right to indemnity.
I AGREE
I DISAGREE
A W-9 Form will be required prior to adding your company to Lee County's Vendor/Bidder's
List. Click here to obtain the W-9 form.
Commodity Codes: Please carefully review the list of Products
and/or Services. Select the commodity products and services
your company is able to provide to Lee County. (To select more than
one Product or Service, simply click on your first selection, then
hold down the CONTROL (CTRL) key and click the remainder of the
categories without releasing the CTRL key. Please indicate in the
Text Box below, if you could not locate any Products or Services
you provide.
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Services: |
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Product/Services Not Listed:
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