2. Exhibit B - Required Bidder Information - Services.pdf
PDF 97 KB Posted
- Attached to
- 2612001209JH108
- Solicitation number
- RFP CAAA 2026000273 1
- Issued by
- Garfield County, Colorado
About this file
This is a Required Offeror Information form for the Colorado Department of Corrections in response to RFP #20260000273 for SUD Assessor and Clinician services. The form requires all responding offerors to complete and submit the document with their bid proposal, including company legal name, doing business as designation, primary contact information, FEIN, VSS registration number if applicable, and expected start and completion dates. The submission must include a physical or electronic signature as defined under Colorado's Uniform Electronic Transactions Act to demonstrate the offeror's intent to be bound by the response. Failure to properly complete and sign this form may result in disqualification of the offeror's response.
The form confirms that pricing proposals must be inclusive of all associated costs and firm for the one-year contract duration. Offerors must also note whether a proposal is attached and provide certification of insurance prior to contract execution, as required by Section 2.B of the RFP. The form explicitly warns that any misrepresentation, omission, or false information provided in the solicitation response or subsequent discussions with the State may result in the State's refusal to execute a contract or grounds for cancellation of an existing contract.
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Text version
EXHIBIT B
COLORADO DEPARTMENT OF CORRECTIONS
REQUIRED OFFEROR INFORMATION FOR SERVICES
(You must complete and return this document with Bid)
RFP #: 20260000273
RFP Title: SUD Assessor and Clinician
Offerors responding to this solicitation must fill out this page in its entirety, sign and return with Offeror’s response. This page must bear a physical or electronic signature, as electronic signature is defined in the “Uniform electronic Transactions Act”, section 24-71.3-102 (8), evincing an intent by the Offeror to be bound by its response. Failure to do so may disqualify the Offeror response.
The undersigned understands and agrees that misrepresentation made in this response and/or subsequent discussions or information presented to the State may be deemed sufficient cause for the refusal by the State to execute a contract as a result, and that later discovery of any omission or misrepresentation made in the solicitation response and/or subsequent discussions or information presented to the State may be grounds for the cancellation or an existing contract.
Offeror(s) Legal Company Name:
Doing Business As:
Contact Person Name:
Contact Person Title:
Remit to Address:
City, State, Zip
Office Phone #:
Cell Phone #:
Contact Persons Email:
Offeror(s) FEIN:
If registered on VSS please provide Offeror Number:
Expected Start and Completion Date _____________________________
Proposal attached ____________. Is price on Proposal inclusive of above costs?_____________
Is Proposal/Pricing firm for the 1-year duration of the Contract?__________________.
Per §2.B of this RFP, a certificate of insurance if required before Contract can be executed.
Authorized Signature: _________________________________________Date:____________
| EXHIBIT B |
| (You must complete and return this document with Bid) |
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