01 RFP Appendix B_Vendor Disclosure_fillable_4.2025 (1).pdf

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Attached to
RFP 27-001 CLR LER System Implementation
Solicitation number
RFP GJAA 2027000009 1
Issued by
Denver County, Denver City, Colorado

About this file

This is a Vendor Disclosure Statement form required by Colorado Revised Statute 24-102-206 for the State of Colorado's RFP 27-001 CLR LER System Implementation contract. The form must be completed and returned to the contracting agency by any vendor bidding on this state contract if services are anticipated to be performed outside the United States or Colorado. The disclosure applies to all state contracts and solicitations for services executed after August 3, 2007, and requires vendors to identify the geographic locations where work will be performed, specify the total percentage of contract performance occurring outside the United States or Colorado, and explain the necessity or advantages of performing work outside these jurisdictions.

The form is not required for contracts related to Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, or the Colorado Indigent Care Program. Vendors must indicate whether any services or subcontract work will occur outside the specified geographic areas and provide detailed responses to three specific questions if offshore or out-of-state performance is planned. The disclosure form serves as a transparency mechanism to ensure the State of Colorado has complete information regarding where contracted services will be delivered prior to award.

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Text version

APPENDIX B

VENDOR DISCLOSURE STATEMENT

Contract Performance Outside the United States or Colorado Colorado Revised Statute 24-102-206

To the extent the vendor has not disclosed the following information in the Statement of Work, this form shall be completed and returned to the contracting agency. This applies to all state contracts and solicitation for services executed after August 3, 2007.

Vendor Name: _____________________________________

Are any services under the contract or any subcontracts anticipated to be performed outside the United States or Colorado?

Yes No

If “Yes”, please complete the following three questions:

1. Where will the services be performed under the contract, including any subcontracts?

(List country(ies) and/or state(s).)

2. What is the total percentage of contract performance outside US or Colorado?

3. Explain why it is necessary or advantageous to go outside of the United States or the State of Colorado to perform the contract or any subcontracts.

Not required for contracts to which the State is a party under:

• Medicare

• The “Colorado Medical Assistance Act”, Articles 4 to 6 of Title 25.5 CRS

• The “Children/s Basic Health Plan Act”, Article 8 of Title 25.5, CRS

• The “Colorado Indigent Care Program”, Part I of Article 4 of Title 25.5, CRS

Vendor Name:
Text8:
Total percentage of work performed outside CO:
Where will services be performed:
Yes Checkbox: Off
No Checkbox: Off

File details come from the government source that posted it. Updated .