2. Exhibit B - Required Bidder Information - Services.pdf
PDF 97 KB Posted
- Attached to
- 2612001209JH108
- Solicitation number
- RFP CAAA 2026000273 2
- 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 offerors to provide comprehensive bidder information including legal company name, business designation, primary contact details, remittance address, phone numbers, email, Federal Employer Identification Number (FEIN), and Vendor Self-Service (VSS) registration number if applicable. Offerors must also specify the expected start and completion dates for the contract term and confirm whether pricing is inclusive of all identified costs and whether the proposed pricing remains firm for the one-year contract duration. All information must be completed in its entirety and signed with either a physical or electronic signature to demonstrate the offeror's intent to be bound by the response.
The form emphasizes that misrepresentation or omission of information in the response may result in disqualification or grounds for contract cancellation. Offerors are required to submit a certificate of insurance prior to contract execution. The document does not contain specific pricing information, set-asides, incumbent details, or funding amounts, as this form serves solely as a standardized information collection instrument to ensure all bidders provide consistent administrative data required for proposal evaluation and contract administration purposes.
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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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