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

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Attached to
Boiler Chemicals & Treatment SRVS at AVCF - Documented Quote
Solicitation number
DQ1 CAAA 2027000028 1
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 Chemicals & Treatment Services solicitation at AVCF. The form must be completed and submitted by the bidder's deadline and requires the bidder or authorized company officer to provide detailed company information, including legal company name, doing business as name, primary contact person details, remit-to address, phone numbers, email address, Federal Employer Identification Number (FEIN), and VSS vendor number if applicable. The form also requires bidders to identify their expected start and completion dates and to provide a quote number with supporting documentation.

The bidder must certify through authorized signature that all pricing is inclusive of identified costs, confirm whether the quoted price remains firm for the full one-year duration of the Purchase Order or Contract, and declare that no conflict of interest exists. Additionally, bidders must acknowledge acceptance of all terms and conditions of the solicitation and its attachments. A certificate of insurance is required before the Purchase Order or Contract can be executed, as noted in section 2.B of the DQ documentation.

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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 .