HomeMy WebLinkAbout18-001373 Skyward IOPage 1 / 1
CIT) OF CITY OF AUBURNAUBURN25WESTMAINSTREET, AUBURN, WA 98001
DATE PO NUMBER
WASHINGTON 6111 /2018 18-001373
VENDOR: 030255 SHIP TO: INFORMATION SERVICES
SKYWARD 10 INC 1 EAST MAIN ST
233 SW NAITO PARKWAY STE 200 SUITE 320
PORTLAND, OR 97204 AUBURN. WA 98002
FOB Point: Dane Carson
Terms: due upon receipt
Req. Del. Date:
Special Inst: Invoice# IN2522625
Req. No.: 129717
Dept.: COMPUTER SERVICES
Contact: BAILEY, MELISSA
Confirming? No
Quantity Unit Description Unit Price Ext. Price
1 Year Annual Business Software 6,000.00
Subscription
lot
6/16/18 to 5/15/19)
New Software
BILL TO: "The City ofAubum does not discriminate against entity or individual entering SUBTOTAL 6,000.00
FINANCE DEPARTMENT into business with the City because ofrace. creed; color, ethnicity, national TAX
origin, marital status or the presence ofphysical, sensory or mental disability. 25 W MAIN ST Vendors/contractors have an obligation to comply with all provisions of FREIGHT
600.00
0,00
6,600,00AUBURN.. WA 98001 Executive Order 11246.asamended, implementing regulations of41CFR TOTAL
Account Number Project Number Amount Account Number Project Number Amount
E 518.00.518.880.49 6,600.00
lot
P, e)
ACCOUNTING COPY
Skyward
A Wr,xon conVany
Skyward 10, Inc.
233 SW Naito Parkway, Suite 200
Portland, OR 97204
TO Ashley Riggs
Dane Carson
City of Auburn
25 W Main Street
Auburn, WA 98001
PAYMENT TERMS
n30
QTY DESCRIPTION
1 Skyward Business Annual Subscription
Up to 12 users
Includes initial remote onboarding
One organization
THANK YOU FOR YOUR BUSINESS!
CEJ
EFFECTIVE DATE May 16, 2018
Quotation prepared by: Steven Perez, Manager of Client Strategy
UNIT PRICE DISCOUNT LINE TOTAL
6,000.00 $ 6,000.00
TOTAL $ 6,000.00
This is a quotation is subject to Skyward's standard Terms of Service viewable via the Skyward platform.
Jew S . Liq 620
Skyward
Skyward 10, Inc.
233 SW Naito Parkway, Suite 200
Portland, OR 97204
TO Ashley Riggs
Dane Carson
City of Auburn
25 W Main Street
Auburn, WA 98001
PAYMENT TERMS
n30
QTY DESCRIPTION
1 Skyward Business Annual Subscription
Up to 12 users
Includes initial remote onboarding
One organization
THANK YOU FOR YOUR BUSINESS!
Expires: May 31, 2018
EFFECTIVE DATE 05/16/2018
Quotation prepared by: Steven Perez, Manager of Client Strategy
L d 10
UNIT PRICE DISCOUNT LINE TOTAL
6,000.00 $ 6,000.00
TOTAL $ 6,000.00
This is a quotation is subject to Skyward's standard Terms of Service viewable via the Skyward platform.
To accept this quotation, sign here and return.
Name: Ashley Riggs
Signature:
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Skyward
A Verizon company
PAYMENT INSTRUCTIONS
Mail to: Skyward 10, Inc.
Attn: Accounting
233 SW Naito Pkwy, Ste. 200
Portland, OR 97204
971) 334-4198
Federal Reserve Designated Name
International Swift Code
Routing/Transit #
Account #
Bank Name
Address (Headquarters)
Address (Local Office)
SIL VLY BK SJ
SVBKL16S
121140399
3300999039
Silicon Valley Bank
3003 Tasman Drive
Santa Clara, CA 95054
1355 NW Everett Street, Ste. 101
Portland, OR 97209
233 SW Naito Pkwy, Suite 200 Portland. OR 97204 1 accounting@skyward.io
3. YOUR ACCOUNT
a) To obtain access to certain Services, you may be required to obtain an account with Skyward
become a "Registered User"), by completing a registration form and designating a user ID and
password. Until you apply for and become a Registered User, your access to the Service will be limited to
the areas of the Service, if any, that Skyward makes available to the general public. When registering with
Skyward you must: (i) provide true, accurate, current and complete information about yourself as
requested by the Service's registration form (such information being the "Registration Data") and (ii)
maintain and promptly update the Registration Data to keep it true, accurate, current and complete.
b) Only you may use your Skyward account, except that if you are an entity you may permit your
employees or contractors to use your Skyward account solely for your benefit. You must keep your
account and passwords confidential and not authorize any third party to access or use the Service on
your behalf, unless we provide an approved mechanism for such use. You must contact us right away if
you suspect any misuse of your account or any security breach in the Service has occurred. You are
responsible for all activities that take place with your account. Skyward will not be liable for any loss or
damage arising from any unauthorized use of your accounts.
c) If a third party such as an employer gave you your account, that party has rights to your account
and may: manage your account, reset your password, or suspend or cancel your account; view your
account's usage and profile data, including how and when your account is used; and read or store
Content in your account. If you are an individual Registered User of the Service, and the domain of the
primary email address associated with your account is owned by an organization and was assigned to
you as an employee, contractor or member of such organization, and that organization wishes to
establishes a commercial relationship with us and add your account to such relationship, then, if you do
not change the email address associated with your account, your account may become subject to the
commercial relationship between Skyward and such organization and controlled by such organization.
4. CONSENT TO ELECTRONIC COMMUNICATIONS AND SOLICITATION.
By registering with Skyward, you understand that we may send you communications or data regarding the
Services, including but not limited to (a) notices about your use of the Services, including any notices
concerning violations of use, (b) updates, and (c) promotional information and materials regarding
Skyward's products and services, via electronic mail. We give you the opportunity to opt -out of receiving
electronic mail from us by following the opt -out instructions provided in the message.
5. FLIGHT SAFETY COMPLIANCE DATA AND OTHER USER CONTENT
a) Because Skyward will be your digital flight log, we may be required by applicable law to treat your
Flight Safety Compliance Data (FSCD) differently than your other User Content, and, notwithstanding
anything to the contrary in these Terms, you hereby consent to any such different treatment. Should you
choose to use the Service as a form of official record-keeping of your FSCD, you will do so solely at your
own risk; and, you represent and covenant that all records you enter, delete, edit, modify or otherwise
maintain are true and correct. You will maintain appropriate security to protect your FSCD from
unauthorized access. In addition to the disclaimers and limitations set forth below, Skyward will have no
liability of any kind as a result of the deletion of, correction of, destruction of, damage to, loss of or failure
to store any FSCD.
2-
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any such termination or suspension regardless of the reason for such termination or suspension.
Skyward may refer any suspected fraudulent, abusive, or illegal activity may to appropriate law
enforcement authorities. These remedies are in addition to any other remedies Skyward may have at law
or in equity. Skyward does not permit copyright infringing activities on the Service, and may terminate
access to the Service, and remove any User Content or other content submitted by any users who are
found to be repeat infringers. Should Skyward terminate your account for convenience prior to the
completion of any particular subscription period, your sole remedy is a pro -rata refund of the unused
portion of the purchase price paid for the unavailable Service. Usage -based charges are not refundable
for any reason.
b) Your only remedy with respect to any dissatisfaction with (i) the Service; (ii) any term of these
Terms; or, (iii) any policy or practice of Skyward in operating the Service is to terminate these Terms and
your account. You may terminate these Terms at any time by discontinuing use of any and all parts of the
Service and providing Skyward written notice of such termination. For clarity, no fees payable by you
hereunder are refundable upon your termination of your account with Skyward.
c) Upon termination by Skyward, whether with or without cause, or at your direction, you may
request access to your User Content including your FSCD, which we will make reasonable efforts to
provide. You must make such request within thirty (30) days following termination. Otherwise, any User
Content or FSCD you have stored with the Service may not be retrievable, and we will have no
obligation to maintain any data stored in your account.
d) The following provisions survive the termination of these Terms: 4, 5(c), 5(d), 11(d), 11(e), 12, 13,
14, 15, 16, 17, 18, 19 (with respect to any amounts owned prior to termination) and 20.
8. ACCEPTABLE USE
a) You must not use the Service to harm others or the Service. For example, you must not use the
Service to harm, threaten, or harass another person, organization, or Skyward and/or to build a similar
service or website. You must not: damage, disable, overburden, or impair the Service (or any network
connected to the Service); resell or redistribute the Service or any part of it; use any unauthorized means
to modify, reroute, or gain access to the Service or attempt to carry out these activities; or use any
automated process or Service (such as a bot, a spider, or periodic caching of information stored by
Skyward) to access or use the Service. In addition, you will not and will not encourage or assist any third
party to:
i) modify, alter, tamper with, repair or otherwise create derivative works of any Software;
ii) reverse engineer, disassemble or decompile the software used to provide or access the Service,
including the Software, or attempt to discover or recreate the source code used to provide or access the
Service, except and only to the extent that the applicable law expressly permits doing so;
iii) use the Service in any manner or for any purpose other than as expressly permitted by these Terms,
the Privacy Policy, any User Guides or any other policy, instruction or terms applicable to the Service that
are available on the Service ("Policies");
iv) sell, lend, rent, resell, lease, sublicense or otherwise transfer any of the rights granted to you with
respect to the Services to any third party;
v) remove, obscure or alter any proprietary rights notice pertaining to the Service;
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WHICH CASE WE MAY DO SO IMMEDIATELY AND WITHOUT NOTICE. SKYWARD NOT BE LIABLE
IN ANY WAY FOR POSSIBLE CONSEQUENCES OF SUCH CHANGES.
10. EXPORT CONTROL
The Software and Services are subject to applicable U.S. export laws and regulations. You will comply
with all domestic and international export laws and regulations that apply to the Software or Service.
These laws include restrictions on destinations, end users, and end use. Without limitation, you may not
transfer the Software or Service without U.S. government permission to anyone on U.S. government
exclusion lists (see the Commerce Department's compliance list
at http://www.bis.doc.gov/compIianceandenforcement/liststocheck.htm). You represent and warrant that
you're not on any of those lists or under the control of or an agent for anyone on those lists or the entities
listed above.
11. THIRD PARTY SERVICES AND CONTENT
a) You will not use the Services to conduct any transactions unless expressly permitted by Skyward.
All transactions using the Services are between the transacting parties only. The Services may contain
features and functionalities linking you or providing you with certain functionality and access to third party
content, including Web sites, directories, servers, networks, systems, information and databases,
applications, software, programs, products or services, and the Internet as a whole; you acknowledge that
we are not responsible for such content or services. We may also provide some content to you as part of
the Services. However, we are not an agent of any transacting party, nor are we a direct party in any such
transaction. Any such activities, and any terms associated with such activities, are solely between you
and the applicable third -party.
b) We have no liability, obligation or responsibility for any such correspondence, purchase or
promotion between you and any such third -party. You should make whatever investigation you feel
necessary or appropriate before proceeding with any online or offline transaction with any of these third
parties. You are solely responsible for your dealings with any third party related to the Services, including
the delivery of and payment for goods and services. Should you have any problems resulting from your
use of any third party services, or should you suffer data loss or other losses as a result of problems with
any of your other service providers or any third -party services, we will not be responsible unless the
problem was the direct result of our breaches.
c) When using the Service, we may provide you with access to content and information from a
variety of sources, including content generated by Skyward (collectively, "Third Party Content"). The
Third Party Content may have additional obligations and restrictions that apply to it. You hereby agree to
abide by any such obligations or restrictions. Unless otherwise expressly permitted in writing by Skyward
or the owner of the Third Party Content, you will only use Third Party Content for your internal business
purposes.
d) Unless otherwise expressly permitted in writing by Skyward or the owner of the Third Party Content
you will: (i) treat as confidential and preserve the confidentiality of all Third Party Content; (ii) take the
same degree of care to prevent disclosure of the Third Party Content as you take to preserve and
safeguard your own confidential or proprietary information, but, in any event, no less than a reasonable
degree of care; (iii) not copy, disclose or make available such Third Party Content (or permit others to do
so); (iv) limit dissemination of the Third Party Content solely to employees and contractors
Representatives") to whom disclosure is necessary for your internal business purposes, but only if such
Representatives have agreed, in writing prior to receiving the Third Party Content, to maintain the
confidentiality thereof on terms at least as protective as the terms of this Section and you have notified
such Representatives that the Third Party Content must be kept in confidence in accordance with these
flan IM. . 7L.An A07.1/174A07/1011A1 A..0.111n-r'A_J"L A-ACENl
AS AVAILABLE". TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, THE SKYWARD
PARTIES MAKE NO (AND SPECIFICALLY DISCLAIMS ALL) REPRESENTATIONS OR WARRANTIES
OF ANY KIND, WHETHER EXPRESS, IMPLIED, STATUTORY OR OTHERWISE, INCLUDING,
WITHOUT LIMITATION: (A) ANY REPRESENTATION OR WARRANTY: (1) RELATING TO THE
TRANSMISSION OR DELIVERY OF THE SERVICE; (11) RELATING TO DELAYS, INTERRUPTIONS,
ERRORS, OR OMISSIONS (OR THE LACK THEREOF) IN THE SERVICE, OR ANY PART THEREOF;
III) THAT THE SERVICE, USER CONTENT OR THIRD PARTY CONTENT WILL BE
UNINTERRUPTED, ERROR -FREE OR FREE OF HARMFUL COMPONENTS; (IV) THAT THE USER
CONTENT WILL BE SECURE OR NOT OTHERWISE LOST OR DAMAGED; (V) RELATING TO THE
TRANSMISSION OR DELIVERY OF THE SERVICE; (VI) RELATING TO PERFORMANCE,
NONPERFORMANCE, OR OTHER ACTS OR OMISSIONS OF THE SKYWARD PARTIES AND (VII)
THAT THE SERVICE WILL MEET YOUR NEEDS OR REQUIREMENTS OR THE NEEDS OR
REQUIREMENTS OF ANY OTHER PERSON; OR (B) ANY IMPLIED WARRANTY OF
MERCHANTABILITY, SATISFACTORY QUALITY, FITNESS FOR A PARTICULAR PURPOSE, OR
NON -INFRINGEMENT, AND ANY WARRANTY ARISING OUT OF ANY COURSE OF PERFORMANCE,
COURSE OF DEALING OR USAGE OF TRADE. SOME JURISDICTIONS DO NOT ALLOW THE
FOREGOING EXCLUSIONS. IN SUCH JURISDICTIONS, THE FORGOING EXCLUSIONS ARE
LIMITED AS REQUIRED BY LAW.
b) NO ADVICE OR INFORMATION, WHETHER ORAL OR WRITTEN, OBTAINED BY YOU FROM
SKYWARD OR THROUGH THE SERVICE WILL CREATE ANY SKYWARD WARRANTY. YOUR USE,
ACCESS, DOWNLOAD, OR OTHERWISE OBTAINING INFORMATION, MATERIALS, OR DATA
THROUGH THE SERVICE (INCLUDING RSS FEEDS) OR ANY THIRD -PARTY SERVICES IS AT YOUR
OWN DISCRETION AND RISK AND THAT YOU WILL BE SOLELY RESPONSIBLE FOR ANY DAMAGE
TO YOUR PROPERTY (INCLUDING YOUR COMPUTER SYSTEM OR UNMANNED AERIAL VEHICLE)
OR LOSS OF DATA THAT RESULTS FROM THE DOWNLOAD OR USE OF SUCH MATERIAL OR
DATA.
c) YOU ARE SOLELY RESPONSIBLE FOR YOUR OWN CONDUCT BOTH IN USING THE
SERVICES AND IN ANY ACTIVITIES RELATED TO USING THE SERVICES, INCLUDING BUT NOT
LIMITED TO FLYING AN UNMANNED AERIAL VEHICLE. SKYWARD MAY PROVIDE A MAP AS A
PART OF THE SERVICES. THE MAP AND ALL RELATED SERVICES ARE TO BE FOR PLANNING
PURPOSES ONLY AND DO NOT REPLACE YOUR OWN JUDGMENT ABOUT WHETHER IT IS SAFE
TO FLY AT THAT TIME OR WHETHER YOU ARE PERMITTED TO FLY IN THAT LOCATION. YOU
ARE STILL INDIVIDUALLY AND SOLELY RESPONSIBLE FOR KNOWING AND COMPLYING WITH
ANY LOCAL, STATE, FEDERAL, OR INTERNATIONAL LAWS GOVERNING YOUR ABILITY TO FLY
AN UNMANNED AERIAL VEHICLE AND SKYWARD SPECIFICALLY DISCLAIMS THAT ANY
INFORMATION PRESENTED ON THE SERVICES IS MERELY ADVICE AND MAY NOT REFLECT THE
CURRENT STATE OF THE LAW IN YOUR JURISDICTION.
15. INDEMNIFICATION
a) You will indemnify, defend and hold harmless the Skyward Parties from and against any losses,
claims, damages, liabilities, including legal fees and expenses, arising out of: (i) any claim due to or
arising out of your violation of these Terms, including but not limited to a claim arising out of a breach of
your representations or warranties made hereunder; (ii) your use or misuse of or access to the Service;
iii) your violation of any law, regulation or third party right, including without limitation any copyright,
property, or privacy right; (iv) any claim that you or your Content caused damage to a third party; or, (v)
any other of your activities or omissions.
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stated otherwise and is listed in U.S. Dollars. You will pay the applicable Fees in U.S. dollars when due.
You're responsible for any taxes and for all other charges (for example, data charges and currency
exchange settlements).
b) In addition to any Fees, you may still incur charges incidental to using the Service, for example,
charges for Internet access, data roaming, and other data transmission charges.
c) You must be authorized to use the payment method that you enter when you sign up for a
Skyward billing account. You authorize us to charge you for the Service using your payment method and
for any paid feature of the Service that you choose to sign up for or use while these Terms are in force.
We may bill: (i) in advance; (ii) at the time of purchase; (iii) shortly after purchase; or (iv) on a recurring
basis for subscription Services. Also, we may charge you up to the amount you've approved, and we'll
notify you in advance of the difference for recurring subscription Services. We may bill you simultaneously
for more than one of your prior billing periods. Once we have informed you that the Service will be
provided indefinitely or automatically renewed, we may automatically renew your Service and charge you
for any renewal term.
d) You will keep all information in your billing account current. If you tell us to stop using your
payment method and we no longer receive payment from you for the paid Service, we may cancel that
Service. Your notice to us will not affect charges we submit to your billing account before we reasonably
could act on your request.
e) We'll notify you in advance, either through the Service or to the email address you have most
recently provided to us, if we change the price of the Service. If there's a specific length and price for your
Service offer, that price will remain in force for that time. After the offer period ends, your use of the
Service will be charged at the new price. If your Service is on a period basis (for example, monthly) with
no specific length, we'll notify you of any price change at least thirty (30) days in advance. If you don't
agree to these changes, you must cancel and stop using the Service no later than fourteen (14) days prior
to the conclusion of your current payment term, whether monthly, yearly, or otherwise. If you cancel, your
Service ends at the end of your current Service period or, if we bill your account on a period basis, at the
end of the period in which you canceled. If you fail to cancel as required, we will automatically renew the
Service for the same term and will charge your payment information on file with us commencing on the
first day of the renewal term.
f) Unless we notify you otherwise, if you're participating in any trial period offer, you must upgrade
the Service by the end of the trial period to continue to use the Service. If you do not upgrade your
Service before the trial period ends, we reserve the right to downgrade or cancel your account.
g) Except as specifically set forth in these Terms, all Services are prepaid for the period selected
monthly, yearly or otherwise) and are non-refundable. This includes accounts that are renewed.
h) If you are a non -trial user you will not be issued a refund for your most recent (or any previous)
billing. To cancel or downgrade, please email subscriptions skyward.io.
i) Except as prohibited by law, we may assess a late charge if you do not pay on time. You must
pay these late charges when we bill you for them. The late charge will be the lesser of 1 percent of the
unpaid amount each month or the maximum rate permitted by law. We may use a third party to collect
past due amounts. You must pay for all reasonable costs we incur to collect any past due amounts,
including reasonable attorneys' fees and other legal fees and costs. We may suspend or cancel your
Service if you fail to pay in full on time.
10-
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without Skyward's prior written permission or that of our suppliers or licensors. Other product and
company names may be trade or service marks of their respective owners.
Skyward may have patents, patent applications, trademarks, copyrights, or other intellectual property
rights covering subject matter that is part of the Service. Unless we have granted you licenses to our
intellectual property in these Terms, our providing you with the Service does not give you any license to
our intellectual property. Any rights not expressly granted herein are reserved.
22. SIGNATURES
05/16/2018
SKYWARD 10, INC.
By: By: N-n V-5:
Name: Name: Ashley Riggs
Title: Title: Assistant Director of IT
Email: Email: ariggs@auburnwa.gov
12-
n-- In. --. "AnA07.AMXAC700OA4 A-Onnn-CA.A";A-ACAS
Form 11119 Request for Taxpayer Give Form to the
Rev.December 2 Identification Number and Certification
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other
requester. Do not
Department of the Treasury
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
send to the IRS.
Internal Revenue Service
TIN on page 3. or
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
Skyward 10, Inc.
i 2 Business name/disregarded entity name, if different from above
amma 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: 4 Exemptions (codes apply only toCcertaino
H
Individual/sole proprietor or C Corporation S Corporation PartnershipTrust/estate entities, not individuals; see
instructions on page 3):
a)cCLo single -member LLC
Limited liabilitycorn an Enter the tax classification C=C corporation, S=S corporation, P=partnership) company. ( Po P P P) Exempt payee code (if any)
o Note. For a single -member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for Exemption from FATCA reporting
cthe tax classification of the single -member owner. code (if any)
Ii — U Other (see instructions) APPlies toaccounts manramedoutside the USJ
E 5 Address (number, street, and apt. or suite no.) Requester's name and address (optional)
c 233 SW Naito Parkway, Suite 200
6 City, state, and ZIP code
n Portland, OR 97204
7 List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number
backup withholding. For individuals, this is generally your social security number (SSN). However, fora
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN on page 3. or
Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for j Employer identification number
guidelines on whose number to enter. F.—T,—] ,
Certification
Under penalties of perjury, I certify that:
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
2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. 1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
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 you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and
generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the
instructions on page 3.
Sign Signature of 9/30/15HereU.S. person 11 -Date 11
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. Information about developments affecting Form W-9 (such
as legislation enacted after we release it) is at www.irs.gov/fw9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an information
return with the IRS must obtain your correct taxpayer identification number (TIN)
which may be your social security number (SSN), individual taxpayer identification
number (ITIN), adoption taxpayer identification number (ATIN), or employer
identification number (EIN), to report on an information return the amount paid to
you, or other amount reportable on an information return. Examples of information
returns include, but are not limited to, the following:
Form 1099 -INT (interest earned or paid)
Form 1099 -DIV (dividends, including those from stocks or mutual funds)
Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
Form 1099-B (stock or mutual fund sales and certain other transactions by
brokers)
Form 1099-S (proceeds from real estate transactions)
Form 1099-K (merchant card and third party network transactions)
Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T
tuition)
Form 1099-C (canceled debt)
Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident alien), to
provide your correct TIN.
Ifyou do not return Form W-9 to the requester with a TIN, you might be subject
to backup withholding. See What is backup withholding? on page 2.
By signing the filled -out form, you:
1. Certify that the TIN you are giving is correct (or you are waiting for a number
to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee. If
applicable, you are also certifying that as a U.S. person, your allocable share of
any partnership income from a U.S. trade or business is not subject to the
withholding tax on foreign partners' share of effectively connected income, and
4. Certify that FATCA code(s) entered on this form (if any) indicating that you are
exempt from the FATCA reporting, is correct. See What is FATCA reporting? on
page 2 for further information.
Cat. No. 10231X Form W-9 (Rev. 12-2014)
Form W-9 (Rev. 12-2014)
Line 2
If you have a business name, trade name, DBA name, or disregarded entity name,
you may enter it on line 2.
Line 3
Check the appropriate box in line 3 for the U.S. federal tax classification of the
person whose name is entered on line 1. Check only one box in line 3.
Limited Liability Company (LLC). If the name on line 1 is an LLC treated as a
partnership for U.S. federal tax purposes, check the "Limited Liability Company"
box and enter "P" in the space provided. If the LLC has filed Form 8832 or 2553 to
be taxed as a corporation, check the "Limited Liability Company" box and in the
space provided enter "C" for C corporation or "S" for S corporation. If it is a
single -member LLC that is a disregarded entity, do not check the "Limited Liability
Company" box; instead check the first box in line 3 "Individual/sole proprietor or
single -member LLC."
Line 4, Exemptions
If you are exempt from backup withholding and/or FATCA reporting, enter in the
appropriate space in line 4 any code(s) that may apply to you.
Exempt payee code.
Generally, individuals (including sole proprietors) are not exempt from backup
withholding.
Except as provided below, corporations are exempt from backup withholding
for certain payments, including interest and dividends.
Corporations are not exempt from backup withholding for payments made in
settlement of payment card orthird party network transactions.
Corporations are not exempt from backup withholding with respect to attorneys'
fees or gross proceeds paid to attorneys, and corporations that provide medical or
health care services are not exempt with respect to payments reportable on Form
1099-MISC.
The following codes identify payees that are exempt from backup withholding.
Enter the appropriate code in the space in line 4.
1—An organization exempt from tax under section 501(a), any IRA, or a
custodial account under section 403(b)(7) if the account satisfies the requirements
of section 401(f)(2)
2—The United States or any of its agencies or instrumentalities
3—A state, the District of Columbia, a U.S. commonwealth or possession, or
any of their political subdivisions or instrumentalities
4—A foreign government or anyof its political subdivisions, agencies, or
instrumentalities
5—A corporation
6—A dealer in securities or commodities required to register in the United
States, the District of Columbia, or a U.S. commonwealth or possession
7—A futures commission merchant registered with the Commodity Futures
Trading Commission
8—A real estate investment trust
9—An entity registered at all times during the tax year under the Investment
Company Act of 1940
10—A common trust fund operated by a bank under section 584(a)
11—A financial institution
12—A middleman known in the investment community as a nominee or
custodian
13—A trust exempt from tax under section 664 or described in section 4947
The following chart shows types of payments that may be exempt from backup
withholding. The chart apples to the exempt payees listed above, 1 through 13.
IF the payment is for ... THEN the payment is exempt for ...
Interest and dividend payments All exempt payees except
for 7
Broker transactions Exempt payees 1 through 4 and 6
through 11 and all C corporations. S
corporations must not enter an exempt
payee code because they are exempt
only for sales of noncovered securities
acquired prior to 2012.
Barter exchange transactions and Exempt payees 1 through 4
patronage dividends
Payments over $600 required to be Generally, exempt payees
reported and direct sales over $5,0001 1 through 52
Payments made in settlement of Exempt payees 1 through 4
payment card or third party network
transactions
See Form 1099-MISC, Miscellaneous Income, and its instructions.
Page 3
s However, the following payments made to a corporation and reportable on Form
1099-MISC are not exempt from backup withholding: medical and health care
payments, attorneys' fees, gross proceeds paid to an attorney reportable under
section 6045(f), and payments for services paid by a federal executive agency.
Exemption from FATCA reporting code. The following codes identify payees
that are exempt from reporting under FATCA. These codes apply to persons
submitting this form for accounts maintained outside of the United States by
certain foreign financial institutions. Therefore, if you are only submitting this form
for an account you hold in the United States, you may leave this field blank.
Consult with the person requesting this form if you are uncertain if the financial
institution is subject to these requirements. A requester may indicate that a code is
not required by providing you with a Form W-9 with "Not Applicable" (or any
similar indication) written or printed on the line for a FATCA exemption code.
A—An organization exempt from tax under section 501(a) or any individual
retirement plan as defined in section 7701(a)(37)
B—The United States or any of its agencies or instrumentalities
C—A state, the District of Columbia, a U.S. commonwealth or possession, or
any of their political subdivisions or instrumentalities
D—A corporation the stock of which is regularly traded on one or more
established securities markets, as described in Regulations section
1.1472-1(c)(1)O
E—A corporation that is a member of the same expanded affiliated group as a
corporation described in Regulations section 1.1472-1(c)(1)(i)
F—A dealer in securities, commodities, or derivative financial instruments
including notional principal contracts, futures, forwards, and options) that is
registered as such under the laws of the United States or any state
G—A real estate investment trust
H—A regulated investment company as defined in section 851 or an entity
registered at all times during the tax year under the Investment Company Act of
1940
I—A common trust fund as defined in section 584(a)
J—A bank as defined in section 581
K—A broker
L—A trust exempt from tax under section 664 or described in section 4947(a)(1)
M—A tax exempt trust under a section 403(b) plan or section 457(g) plan
Note. You may wish to consult with the financial institution requesting this form to
determine whether the FATCA code and/or exempt payee code should be
completed.
Line 5
Enter your address (number, street, and apartment or suite number). This is where
the requester of this Form W-9 will mail your information returns.
Line 6
Enter your city, state, and ZIP code.
Part I. Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. If you are a resident alien and you do not
have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer
identification number (ITIN). Enter it in the social security number box. If you do not
have an ITIN, see How to get a TIN below.
If you are a sole proprietor and you have an EIN, you may enter either your SSN
or EIN. However, the IRS prefers that you use your SSN.
If you are a single -member LLC that is disregarded as an entity separate from its
owner (see Limited Liability Company (LLC) on this page), enter the owner's SSN
or EIN, if the owner has one). Do not enter the disregarded entity's EIN. If the LLC
is classified as a corporation or partnership, enter the entity's EIN.
Note. See the chart on page 4 for further clarification of name and TIN
combinations.
How to get a TIN. If you do not have a TIN, apply for one immediately. To apply
for an SSN, get Form SS -5, Application for a Social Security Card, from your local
SSA office or get this form online at www.ssa.gov. You may also get this form by
calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer
Identification Number, to apply for an ITIN, or Form SS -4, Application for Employer
Identification Number, to apply for an EIN. You can apply for an EIN online by
accessing the IRS website at www.irs.gov/businesses and clicking on Employer
Identification Number (EIN) under Starting a Business. You can get Forms W-7 and
SS -4 from the IRS by visiting IRS.gov or by calling 1 -800 -TAX -FORM
1-800-829-3676).
If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN
and write "Applied For" in the space for the TIN, sign and date the form, and give it
to the requester. For interest and dividend payments, and certain payments made
with respect to readily tradable instruments, generally you will have 60 days to get
a TIN and give it to the requester before you are subject to backup withholding on
payments. The 60 -day rule does not apply to other types of payments. You will be
subject to backup withholding on all such payments until you provide your TIN to
the requester.
Note. Entering "Applied For" means that you have already applied for a TIN or that
you intend to apply for one soon.
Caution: A disregarded U.S. entity that has a foreign owner must use the
appropriate Form W-8.
Skyward
A Verizon company
Bill To
City of Auburn
25 W Main Street
Auburn WA 98001
Skyward 10, Inc. Invoice
233 SW Naito Parkway
Suite 200
Portland, Oregon 97204 Date 5/25/2018
accounting@skyward.io Invoice # IN2522625
http://skyward.io Customer # 8970202
Terms Net 15
PO #
Currency US Dollar
Total 6,000.00
Amount Due $6,000.00