2. Exhibit B - Required Vendor Information - Goods.pdf
PDF 157 KB Posted
- Attached to
- Fresh Eggs - Request for Quote
- Solicitation number
- DQ1 CAAA 2026000492 1
- Issued by
- Garfield County, Colorado
About this file
This is a Vendor Information Form (Exhibit B) required for submission with quotes to the Colorado Department of Corrections (CDOC) for a goods procurement opportunity related to Fresh Eggs. The form must be completed and signed by an authorized bidder representative at the time of quote submission. Bidders are required to provide comprehensive company information including legal entity name, doing business as name, primary contact details, remit-to address, phone numbers, and email address. Additionally, bidders must disclose their Federal Employer Identification Number (FEIN) and Vendor Service System (VSS) vendor number if registered. The form establishes the framework for collecting essential vendor identification and contact information necessary for CDOC's evaluation and administration of the goods purchase.
The form requires bidders to specify shipping terms by selecting from four options: FOB Destination with Freight Prepaid, FOB Destination with Freight Prepaid and Added to Invoice, FOB Shipping Point with Freight Prepaid, or FOB Shipping Point with Freight Prepaid and Added to Invoice. Bidders must provide an estimated shipping charge and expected delivery timeframe following order receipt. The form explicitly asks whether the quoted price is inclusive of shipping costs and whether pricing remains firm for the full one-year duration of the Purchase Order or Contract. By executing the form, the authorized signatory certifies acceptance of all solicitation terms and conditions and confirms the absence of any conflicts of interest. The signature and date fields serve as binding authorization for the bidder's participation in this procurement.
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Text version
EXHIBIT B
REQUIRED VENDOR INFORMATION
COLORADO DEPARTMENT OF CORRECTIONS (CDOC)
GOODS
This document must be submitted with Quote by submission deadline.
DQ #: ____________________________________________
DQ Title:__________________________________________
This sheet must be filled out and signed by the Bidder or an officer of the Bidder who is legally authorized to bind the Bidder 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.
Bidder(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:
Bidder(s) FEIN:
If registered on VSS please provide Vendor Number:
Your company’s shipping terms
___________ FOB – Destination – Freight Prepaid ___________ FOB – Destination – Freight Prepaid and Added to Invoice ___________ FOB – Shipping Point – Freight Prepaid ___________ FOB – Shipping Point – Freight Prepaid and Added to invoice
Estimated shipping charge $ _______________
Expected delivery date after receipt of order _____________________________
Quote # ____________ (attached). Is price on Quote inclusive of above costs?______________
Is Quote/Pricing firm for the 1-year duration of the Purchase Order or Contract?_____________
Authorized Signature: _________________________________________Date:____________
EXHIBIT B
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