15COE-S3857-Vendor-Information-Response.pdf
PDF 97 KB Posted
- Attached to
- Case Management System
- Solicitation number
- 15COE-S3857
- Issued by
- Nevada
About this file
This is a Vendor Information Response form required for submission with proposals to the Nevada Commission on Ethics for the Case Management System contract opportunity. The form serves as a standardized document to collect essential vendor information and certifications necessary for contract development and execution with the State of Nevada.
The form requires vendors to provide complete company contact information, including company name, street address, city, state, zip code, telephone number, toll-free number, and email address. Vendors must also designate a primary contact person for questions and contract negotiations, including that individual's name, title, address, and contact information. Additionally, vendors must disclose an overall company profile, provide information regarding any prior experience with State of Nevada agencies, identify any current or former State of Nevada employees who will perform work on the contract, and disclose any significant prior or ongoing contractual issues, breaches, or litigation involving the State of Nevada or other government entities occurring within the past six years. The form requires certification regarding lobbying activities and indemnification, identification of an individual authorized to bind the organization, and payment authorization for use of procurement cards. Vendors are advised that out-of-state corporations must register as foreign corporations with the Nevada Secretary of State's Office pursuant to NRS 80.010 prior to contract execution, and that selected vendors must obtain appropriate licensing from the State of Nevada pursuant to NRS 76 before commencing work.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 15COE-S3857 QA.xlsx | XLSX spreadsheet | |
| 15COE-S3857 Cost Schedule.docx | DOCX document | |
| 15COE-S3857 Terms-and-conditions-for-services.pdf | ||
| Quote Instructions.pdf | ||
| 15COE-S3857 Standard-form-contract.docx | DOCX document | |
| 15COE-S3857-reference-questionnaire.docx | DOCX document | |
| 15COE-S3857 Certification-regarding-lobbying.pdf | ||
| 15COE-S3857 Strategic Plan.pdf | ||
| 15COE-S35857 Insurance Requirements.docx | DOCX document | |
| 15COE-S3857 RFP~2.docx | DOCX document |
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Text version
VENDOR INFORMATION RESPONSE
Revised: April 2021 Page 1 of 1
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: |
File details come from the government source that posted it. Updated .