2. Exhibit B - Required Vendor Information - Goods.pdf
PDF 210 KB Posted
- Attached to
- Fresh Produce - Request for Quote
- Solicitation number
- DQ1 CAAA 2026000501 2
- Issued by
- Garfield County, Colorado
About this file
This is a Required Vendor Information form for goods procurement issued by the Colorado Department of Corrections (CDOC) in response to a Fresh Produce Request for Quote. The form must be completed and submitted by the bidder's deadline as part of the quote submission. The document requires bidders to provide standard vendor information including legal company name, business operating name, primary contact details, remittance address, phone numbers, and email contact information. Bidders must also supply their Federal Employer Identification Number (FEIN) and Vendor Number if registered on the Colorado Vendor Self-Service (VSS) system. The form establishes that submission constitutes acceptance of all terms and conditions of the solicitation and certifies that no conflict of interest exists.
The form requires bidders to specify shipping terms from four options: FOB Destination Freight Prepaid, FOB Destination Freight Prepaid and Added to Invoice, FOB Shipping Point Freight Prepaid, or FOB Shipping Point Freight Prepaid and Added to Invoice. Bidders must provide an estimated shipping charge, expected delivery date following order receipt, and indicate whether the quoted price is inclusive of shipping costs. Additionally, bidders must confirm whether pricing is firm for the one-year duration of the purchase order or contract. An authorized company representative must sign and date the form, certifying their legal authority to bind the company to the quotation.
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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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