2. Exhibit B - Required Vendor Information - Services.pdf
PDF 138 KB Posted
- Attached to
- Boiler Chemicals & Treatment Services - CCF
- Solicitation number
- DQ1 CAAA 2027000026 1
- Issued by
- Garfield County, Colorado
About this file
This is a vendor information form required by the Colorado Department of Corrections (CDOC) for submission with quotes in response to a Boiler Chemicals & Treatment Services solicitation for the Colorado Correctional Facilities (CCF). The form must be completed and signed by an authorized bidder representative at the time of quote submission and serves as the bidder's acknowledgment of acceptance of all terms, conditions, and attachments of the solicitation, as well as certification that no conflict of interest exists.
The form requests standard vendor identification information including legal company name, doing business as designation, primary contact person details, remit-to address, phone and email contact information, and FEIN. Bidders must provide their expected service start and completion dates, quote number, and Vendor System number if previously registered. The form requires bidders to confirm whether their quoted price is inclusive of all costs, whether pricing is firm for the one-year duration of the purchase order or contract, and certification of required insurance documentation prior to contract execution. The authorized signatory must date and sign the form to bind the bidder to the quoted terms.
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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 .