10TCA-S3686 - Vendor-Information-Response.pdf

This is a Vendor Information Response form used by the State of Nevada for state and local contract opportunities. The form requires vendors to complete and submit comprehensive company information as part of their proposal, with separate completion required for any subcontractors involved in the contract. Vendors must provide detailed contact information for both the company and a designated contact person responsible for questions and contract negotiations, including name, title, address, email, telephone number, and toll-free number if applicable. The form also requires vendors to disclose their overall company profile and provide relevant experience information.

The form includes several mandatory disclosure and certification requirements that vendors must complete prior to contract award and execution. Vendors must confirm appropriate licensing with the Nevada Secretary of State's Office, disclose any prior experience with State of Nevada agencies, and identify any current or former State of Nevada employees performing work on the contract. Additionally, vendors are required to disclose any significant prior or ongoing contract failures, breaches, civil or criminal litigation with the State of Nevada or other government entities, and any pending claims or litigation occurring within the past six years that could adversely affect performance capability. The form also requires authorization for procurement card payment usage and signature from an individual authorized to bind the organization, certifying compliance with lobbying regulations and indemnification requirements.