15COE-S3567-Vendor-Information-Response.pdf

This is a Vendor Information Response form for a Nevada state contract opportunity related to a Case Management System. The form serves as a standardized document that vendors and their subcontractors must complete and submit as part of their proposal to the State of Nevada. The form requires vendors to provide comprehensive company contact information, including the company name, street address, city, state, zip code, telephone and toll-free numbers, and email address. Additionally, vendors must identify a contact person for questions and contract negotiations, along with that person's title, address, email, and phone numbers. The form also requires vendors to furnish an overall company profile and disclose any relevant State of Nevada experience by identifying each state agency for whom work has been performed.

The form includes several certification and disclosure requirements that vendors must address in their proposals. Vendors must acknowledge Nevada licensing requirements, specifically that out-of-state corporations must register with the Nevada Secretary of State's Office as foreign corporations before contract execution, and that selected vendors must obtain appropriate Nevada business licensing pursuant to Nevada Revised Statutes. The form requires disclosure of any current or former State of Nevada employees who will perform work under the contract, as well as full disclosure of any significant prior or ongoing contract failures, breaches, civil or criminal litigation, or pending claims occurring within the past six years that may adversely affect the vendor's ability to perform. The form also requires payment authorization information for procurement card use and the signature of an individual authorized to bind the organization, certifying the accuracy of all information provided.