01 RFP Appendix B_Vendor Disclosure_fillable_4.2025.pdf

This is a Vendor Disclosure Statement form required by Colorado Revised Statute 24-102-206 for the CCCS RFP 27-003 Federal Affairs and Strategic Funding contract opportunity in Colorado. The form must be completed and returned to the contracting agency by vendors whose contract performance or subcontract performance extends 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, calculate the total percentage of contract performance occurring outside the United States or Colorado, and provide justification for performing services outside these boundaries.

The form contains three primary disclosure questions that vendors must complete if services are anticipated to be performed internationally or in other states. Vendors must specify all countries and states where work will occur, quantify the percentage of total contract performance in those locations, and explain the business necessity or advantage of such geographic distribution. The disclosure requirement does not apply to contracts related to Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, or the Colorado Indigent Care Program. The form is designed as a fillable document to streamline vendor submission and contracting agency review.