01GO-S3715 - Vendor-Information-Response.pdf
PDF 45 KB Posted
- Attached to
- BEAD Grant Management Services
- Solicitation number
- 01GO-S3715
- Issued by
- Churchill County, Nevada
About this file
This is a Vendor Information Response form for the State of Nevada (GovTribe ID: 612ca40c5984e7fea027934543622148), revised April 2021. The form serves as a standardized template that vendors must complete and submit as part of their proposal for state and local contract opportunities. Vendors are required to provide comprehensive company and contact information, including company name, street address, telephone number, email address, and designated contact person details for questions and contract negotiations. If a proposal includes subcontractors, the form must be completed for each subcontractor as well. The document does not specify particular products, services, quantities, response dates, bid meetings, or contract terms, as it functions as a general information collection instrument applicable to multiple procurement opportunities.
The form requires vendors to disclose critical business information including company profiles, licensing status, and prior experience with State of Nevada agencies. Vendors must comply with Nevada Revised Statutes (NRS 80.010 and NRS 76) regarding foreign corporation registration and state business licensing requirements before contract execution. Additionally, vendors must disclose any current or former State of Nevada employees who will perform work under the contract, and must fully disclose significant prior or ongoing contractual failures, breaches, civil or criminal litigation, and any pending claims or litigation within the past six years that could adversely affect performance capabilities. The form also requires authorization information for payment via procurement card and identification of the individual authorized to bind the organization on behalf of the vendor.
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Other files
| File | Type | Posted |
|---|---|---|
| 01GO-S3715-request-for-proposals~5.docx | DOCX document | |
| 01GO-S3715 - Questions and Answers - Updated~1.docx | DOCX document | |
| Standard-form-contract~2.docx | DOCX document | |
| Terms-and-conditions-for-services~2.pdf | ||
| Updated Timeline.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 01GO-S3714 - Insurance Schedule.docx | DOCX document | |
| Certification-regarding-lobbying~2.pdf | ||
| 01GO-S3715 - Updated Timeline - Final Version.docx | DOCX document | |
| 01GO-S3715 - Cost Schedule.xlsx | XLSX spreadsheet | |
| 01GO-S3715 - reference-questionnaire~1.docx | DOCX document | |
| 01GO-S3715 - Questions and Answers.docx | DOCX document |
Show all 12
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Text version
VENDOR INFORMATION RESPONSE
Revised: April 2021 Page 1 of 1
Vendors shall complete and return this form in their proposal.
If the proposal includes subcontractors, form must be completed for each subcontractor as well.
1. VENDOR CONTACT INFORMATION
COMPANY NAME AND CONTACT INFORMATION:
The information provided in the table below shall be used for development of the contract, if awarded.
Requested Information Response
Company Name:
Company Street Address:
City, State, Zip Code:
Telephone Number, including area code:
Toll Free Number, including area code:
Email Address:
CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS
Requested Information Response
Name:
Title:
Address:
City, State, Zip Code:
Email Address:
Telephone Number, including area code:
Toll Free Number, including area code:
| Confidentiality and Certification of Indemnification |
| Certification Regarding Lobbying |
| Vendor Information Response |
| 1. VENDOR CONTACT INFORMATION |
| 1.1 COMPANY NAME AND CONTACT INFORMATION: |
| 1.2 CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS |
| 2. VENDOR INFORMATION |
| 2.1 Vendors shall provide an overall company profile in the following table: |
| 2.2 VENDOR LICENSING |
| 2.2.1 Please be advised: Pursuant to NRS 80.010, a corporation organized pursuant to the laws of another state shall register with the State of Nevada, Secretary of State’s Office as a foreign corporation before a contract can be executed between the ... |
| 2.2.2 The selected vendor, prior to doing business in the State of Nevada, shall be appropriately licensed by the State of Nevada, Secretary of State’s Office pursuant to NRS 76. Information regarding the Nevada Business License can be located at htt... |
| 2.3 STATE OF NEVADA EXPERIENCE |
| 2.3.1 If ‘Yes’, complete the following table for each State agency for whom the work was performed. |
| 2.3.2 Table can be duplicated for each contract being identified. |
| 2.4 CURRENT OR FORMER EMPLOYEE |
| 2.4.1 If you employ (a) any person who is a current employee of an agency of the State of Nevada, or (b) any person who has been an employee of an agency of the State of Nevada within the past two (2) years, and if such person shall be performing or p... |
| 2.5 PRIOR OR ONGOING CONTRACTUAL ISSUES |
| 2.5.1 Disclosure of any significant prior or ongoing contract failures, contract breaches, civil or criminal litigation in which the vendor has been alleged to be liable or held liable in a matter involving a contract with the State of Nevada or any o... |
| 2.5.2 Any pending claim or litigation occurring within the past six (6) years which may adversely affect the vendor’s ability to perform or fulfill its obligations if a contract is awarded as a result of this RFP shall also be disclosed. |
| 2.5.3 If ‘Yes’, please provide the information in the table below. |
| 2.5.4 Table can be duplicated for each issue being identified. |
| 3. PAYMENT AUTHORIZATION FOR USE OF PROCUREMENT CARD |
| 4. NAME OF INDIVIDUAL AUTHORIZED TO BIND THE ORGANIZATION |
| 4.1 SIGNATURE OF INDIVIDUAL AUTHORIZED TO BIND THE VENDOR |
| Company Name: |
| Company Email Address: |
| Contact Person Name: |
| Contact Person Title: |
| Contact Person Address: |
| Contact Person City, State, Zip Code: |
| Contact Person Email: |
| Contact Person Telephone: |
| Contact Person Toll Free (if applicable): |
| Company Address: |
| Company City State Zip Code: |
| Company Telephone: |
| Company Toll Free: |
File details come from the government source that posted it. Updated .