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

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Attached to
Correctional Facility Mattresses - CCi
Solicitation number
DQ1 CFAA 2026000107 2
Issued by
Garfield County, Colorado

About this file

This is a vendor information form (Exhibit B) required for submission with quotes in response to Colorado's solicitation for correctional facility mattresses under DQ 2026000107. The document serves as the formal submission vehicle through which interested vendors must provide their company information, contact details, and acknowledgment of the solicitation's terms and conditions. Vendors are required to complete all fields including legal company name, business address, Federal Employer Identification Number (FEIN), and Vendor Number if registered on the state's vendor system (VSS). The form necessitates specification of shipping terms, with options for FOB Destination Freight Prepaid or FOB Shipping Point Freight Prepaid, along with the expected delivery date following order receipt.

The vendor submitting this form must certify pricing terms, confirm whether the quoted price includes shipping and delivery costs, and declare whether pricing will remain firm for the duration of the purchase order. An authorized company officer must sign the document, thereby accepting all solicitation terms and conditions and certifying the absence of conflicts of interest. The form requires attachment of the actual price quote and corresponding quote number. No information regarding specific quantities, delivery timelines, set-asides, or award dates is detailed in this exhibit, as it functions as a procedural document to capture vendor qualifications and confirm acceptance of solicitation requirements rather than specifying project scope or commercial terms.

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EXHIBIT B

Required Vendor Information

Goods

This document must be submitted with Quote by submission deadline.

DQ #: DQ 2026000107

DQ Title: Correctional Facility Mattresses - CCi

This sheet must be filled out and signed by the Offeror or an officer of the Offeror who is legally authorized to bind the Offeror to the quote.

By signing this document, the authorized agent acknowledges acceptance of all terms and conditions of this solicitation including all attachments. By signing this document, the authorized agent certifies that a conflict of interest does not exist.

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:

Your company’s shipping terms

___________ FOB – Destination – Freight Prepaid ___________ FOB – Shipping Point – Freight Prepaid

Expected delivery date after receipt of order _____________________________

Quote # ____________ (attached). Is price on Quote inclusive of above costs?______________

Is Quote/Pricing firm for the duration of the Purchase Order?_____________

Authorized Signature: _________________________________________Date:____________

EXHIBIT B

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