10TCA-S3688 - Vendor-Information-Response.pdf

This is a Vendor Information Response form (Revised April 2021) issued by the State of Nevada for contract opportunity 10TCA-S3688. The form requires vendors to submit comprehensive company and contact information for proposal evaluation purposes. Vendors must complete the form for their primary company and for any subcontractors involved in the proposal. The form requests standard vendor contact information including company name, street address, city, state, zip code, telephone number, toll-free number, and email address. Additionally, vendors must identify a primary contact person for questions and contract negotiations, including that individual's name, title, address, city, state, zip code, email address, and telephone numbers.

The form mandates vendor compliance with Nevada state requirements, including registration with the Nevada Secretary of State's Office as a foreign corporation if organized outside Nevada (per NRS 80.010) and appropriate state licensing pursuant to NRS 76 before contract execution. Vendors must disclose any prior experience with State of Nevada agencies, current or former employment of state agency personnel who will perform work on the contract, and any significant prior or ongoing contractual issues, contract breaches, or litigation involving the State of Nevada or its agencies occurring within the past six years. The form also requires identification of the individual authorized to bind the organization, along with their signature, company email address, and complete contact information. Payment authorization information for procurement card use must be provided, and vendors must complete certification regarding lobbying and indemnification obligations.