2. Exhibit B - Required Offeror Information - Goods.pdf

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Attached to
Dental Prosthetics
Solicitation number
IFB1 CAAA 2026000169 3
Issued by
Garfield County, Colorado

About this file

This is an Exhibit B form for required offeror information related to a dental prosthetics goods procurement (IFB #2026000169) issued by the State of Colorado. The document serves as the mandatory submission form that all bidders must complete, sign, and return with their bid response by the stated submission deadline. The form requests comprehensive offeror information including legal company name, doing business as name, primary contact details, remit-to address, phone numbers, email, and Federal Employer Identification Number (FEIN). Offerors must also provide their Colorado Vendor Status System (VSS) vendor number if registered. The solicitation pertains to a one-year purchase order term for dental prosthetics goods.

Offerors are required to indicate their expected delivery date after receipt of order, provide an attached price quote reference number, and confirm whether the quoted price is inclusive of all associated costs. Bidders must also certify that their bid price remains firm for the entire one-year duration of the purchase order. The form requires an authorized signature and date to be binding, and the State reserves the right to refuse contract execution or cancel any resulting contract based on any misrepresentation, omission, or false information discovered in the offeror's response or subsequent discussions. This document must be physically or electronically signed in accordance with Colorado's Uniform Electronic Transactions Act to constitute a valid bid submission.

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EXHIBIT B

Required Offeror Information

Goods

This document must be submitted with Bid by submission deadline.

IFB #: 2026000169

IFB Title: Dental Prosthetics

Offerors responding to this solicitation must fill out this document 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 vendor to be bound by its response. Failure to do so may disqualify the vendor 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 of 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 Vendor Number:

Expected delivery date after receipt of order _____________________________ Quote # ____________ (attached). Is price on Bid inclusive of above costs?______________ Is the Bid firm for the 1-year duration of the Purchase Order? _____________

Authorized Signature: _________________________________________Date:____________

EXHIBIT B

File details come from the government source that posted it. Updated .