01GO-S3713 - Vendor-Information-Response.pdf

This is a Vendor Information Response form utilized by the State of Nevada for state and local contract opportunities. The form serves as a standardized template that vendors and their subcontractors must complete and submit as part of their proposal packages. The document requests comprehensive vendor contact information, including company name, street address, telephone and email contacts, and a designated contact person for questions and contract negotiations. Vendors are required to provide an overall company profile and must disclose any relevant State of Nevada experience, including specific state agencies for whom work has been previously performed. Additionally, the form mandates disclosure of current or former State of Nevada employees who will be performing work on the contract, as well as any significant prior or ongoing contractual issues, contract breaches, or litigation involving the State of Nevada or other government entities occurring within the past six years that may adversely affect the vendor's performance capability.

The form also addresses licensing and authorization requirements, noting that vendors organized under the laws of another state must register with the Nevada Secretary of State's Office as a foreign corporation before contract execution, and that selected vendors must obtain appropriate Nevada business licensing pursuant to NRS 76. The document includes sections for payment authorization for procurement card use and requires signature and certification from the individual authorized to bind the vendor organization, along with their contact details and company information. All responses must be submitted in the designated table format, with provisions to duplicate tables as needed for multiple entries related to prior contracts, employees, or contractual issues.