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

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Attached to
Cable TV Repair Services
Solicitation number
DQ1 CFCA 2026000494 1
Issued by
Garfield County, Colorado

About this file

This is a Required Vendor Information form (Exhibit B) submitted to the Colorado Department of Corrections (CDOC) for Cable TV Repair Services under DQ #2026000494. The form serves as the official vendor submission document and must be completed and signed by an authorized bidder representative at the time of quote submission. The document requests standard vendor identification information including legal company name, business-as-usual designation, primary contact details, FEIN, and VSS vendor number if applicable. Bidders must confirm whether pricing is inclusive of all costs, whether quotes are firm for the one-year Purchase Order duration, and acknowledge acceptance of all solicitation terms and conditions.

By signing the form, the authorized agent certifies that no conflict of interest exists and binds the bidder to the quoted terms. The vendor must provide proof of insurance before Purchase Order execution, as required by section 2.B of the solicitation. The form requests confirmation of quote number, pricing structure, and pricing firmness for the contract period. No specific response deadline, award date, or renewal terms are detailed within this exhibit, though the contract structure indicates a one-year initial term for the Purchase Order.

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Text version

EXHIBIT B

REQUIRED VENDOR INFORMATION

COLORADO DEPARTMENT OF CORRECTIONS (CDOC)

SERVICES

This document must be submitted with Quote by submission deadline.

DQ #: 2026000494_

DQ Title:Cable TV Repair Services

This sheet must be filled out and signed by the Bidder or an officer of the Bidderr 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:

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

Is Quote/Pricing firm for the 1-year duration of the Purchase Order? _____________

Per §2.B of this DQ, a certificate of insurance if required before PO can be executed.

Authorized Signature: _________________________________________Date:____________

EXHIBIT B

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