10TCA-S3386-Vendor-Information-Response.pdf

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Attached to
Website Usability Study
Solicitation number
10TCA-S3386
Issued by
Nevada

About this file

This is a Vendor Information Response form, revised April 2021, used by state and local jurisdictions to collect essential vendor contact and administrative information from companies bidding on contract opportunities. The form requires vendors to provide comprehensive company contact information, including company name, street address, city/state/zip code, telephone number, toll-free number, and email address. Additionally, vendors must designate a specific contact person for questions and contract negotiations, providing that individual's name, title, address, city/state/zip code, email address, and both standard and toll-free telephone numbers. The form explicitly states that if a proposal includes subcontractors, the form must be completed for each subcontractor as well, ensuring complete transparency regarding all parties involved in the contract delivery.

The form does not address pricing terms, set-asides, funding sources, or contract duration, as it functions solely as an information collection instrument. It serves as a foundational document in the proposal submission process, designed to facilitate contract development and administration should the vendor be awarded the contract. The information collected is intended for use by the procuring jurisdiction in establishing communication protocols, conducting negotiations, and managing the contractual relationship throughout the term of the agreement. This form represents standard practice in public procurement and must be completed and returned with all proposals submitted in response to the jurisdiction's solicitation.

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Other files

File Type Posted
10TCA-S3386 - reference-questionnaire.docx DOCX document
Standard Form Contract~26.docx DOCX document
10TCA-S3386 - Cost Schedule - Updated.docx DOCX document
Attachment BB - Insurance Schedule~17.pdf PDF
Quote Instructions.pdf PDF
10TCA-S3386 - Request for Proposal - Final.docx DOCX document
Certification-regarding-lobbying~3.pdf PDF
Terms-and-conditions-for-services~4.pdf PDF

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VENDOR INFORMATION RESPONSE

Revised: April 2021 Page 1 of 4

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:

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