2. Exhibit B - Required Vendor Information - Services.pdf
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- Solicitation number
- DQ1 CAAA 2027000003 2
- Issued by
- Garfield County, Colorado
About this file
This is a Required Vendor Information form for the Colorado Department of Corrections (CDOC) used in conjunction with a Boiler Water Chemicals & Treatment documented quote solicitation. The form must be completed and submitted by the bidder's deadline and requires the bidder or authorized company officer to provide comprehensive vendor identification information, including legal company name, doing business as name, primary contact person details, remit-to address, phone numbers, and email contact. The form also requires the bidder's Federal Employer Identification Number (FEIN) and Vendor Service System (VSS) vendor number if applicable. Additionally, bidders must specify the expected start and completion dates for the services and reference the associated quote number.
The form requires bidders to indicate whether pricing is inclusive of all costs and whether the quoted price remains firm for the full one-year duration of the purchase order or contract. A certificate of insurance is required before purchase order or contract execution. By signing the form, the authorized agent certifies acceptance of all solicitation terms and conditions, acknowledges that no conflict of interest exists, and binds the bidder to the quote submission.
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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 #: ____________________________________________
DQ Title:__________________________________________
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:
Expected Start and Completion Date _____________________________
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?
Per §2.B of this DQ, a certificate of insurance if required before PO or Contract can be executed.
Authorized Signature: _________________________________________Date:____________
EXHIBIT B
File details come from the government source that posted it. Updated .