10TCA-S3966 - Vendor-Information-Response.pdf

This is a Vendor Information Response form for the Nevada Department of Tourism's Integrated Marketing Effectiveness Study contract solicitation (10TCA-S3966). The form serves as a standardized template that vendors and any identified subcontractors must complete and submit as part of their proposal response. The document establishes the requirements for vendor disclosure and qualification verification prior to contract execution.

The form requires vendors to provide comprehensive company and contact information, including official company name, street address, telephone and email details, and a designated contact person for questions and contract negotiations. Vendors must also disclose their overall company profile, provide evidence of appropriate Nevada business licensing pursuant to Nevada Revised Statutes (NRS 80.010 and NRS 76), document any prior experience with State of Nevada agencies, and disclose information regarding current or former Nevada state employees who may be performing work under the contract. Additionally, vendors must complete disclosure statements regarding any significant prior or ongoing contractual issues, contract breaches, civil or criminal litigation involving the State of Nevada or other government entities within the past six years, and any pending claims or litigation that could adversely affect contract performance. The form concludes with sections for payment authorization for procurement card use and requires an authorized representative's signature and title to bind the vendor organization to the proposal submission.