Printable Form W-10 Simi Valley California 2020-2024

Printable Form W-10 Simi Valley California: What You Should Know

If the provider is not a resident of the City of Simi Valley/Waterworks District No. 8 Water Conservation page) (if the provider is not a resident of the City of Simi Valley/Waterworks District No.8 Water Conservation page) I understand that my signature as the provider is binding on me and that it will be acknowledged by my signature on any documents submitted by me to the City of Simi Valley, or, as defined by a water provider certificate, any document submitted by me to an entity certified or licensed by the City of Simi Valley. I understand that the foregoing applies to: • any business or entity that is engaged in providing any service that requires a certificate of water usage. • any person or corporation providing services to any business or entity requiring a certificate of water usage, or a person or corporation who is certified or licensed by the City of Simi Valley and is engaged specifically in providing services to any business or entity requiring a certificate of water usage. • any individual who certifies his or her own health care provider, the doctor, nurse, physician, or facility providing health care, or any other individual in connection with the provision, maintenance, or payment for any care for any person entitled to receive any health care services. • any individual responsible for the operation, maintenance, or collection of any street maintenance contract, traffic control contract, stormwater control contract, water conservation contract, or other similar contract between the City or any city department or any other entity and any person. • any person employed by the City or any city agency, who prepares or furnishes any report, document, or record required to be filed by him or her with the City or any city agency. • any person or corporation operating a water collection system, including a water reclamation system, or operating a water irrigation system, who provides water to a resident of the City or a person in the area and who receives payment or property for the service with his or her own property. • any person conducting a water sale where a person will be charged a reasonable fee to access water, sewage, or stormwater. • any tenant or user who maintains and operates a residential sewer, septic system, or system for residential use including a sewage reclamation system that is capable of collecting and disposing of stormwater.

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