2. Exhibit B - Required Vendor Information - Services.pdf
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- Solicitation number
- DQ1 CAAA 2027000027 2
- Issued by
- Garfield County, Colorado
About this file
This is a Required Vendor Information Form (Exhibit B) issued by the Colorado Department of Corrections (CDOC) for a documented quote solicitation (DQ #2027000027) for Boiler Chemicals & Treatment Services at Colorado State Penitentiary (CSP). The form must be completed and submitted with the bidder's quote by the submission deadline. The document requires bidders to provide essential company information including legal business name, doing business as name, primary contact person details, remit-to address, phone numbers, email, and Federal Employer Identification Number (FEIN). Bidders must also indicate their expected start and completion dates and provide their quote number. The form establishes a one-year purchase order or contract term.
Bidders must certify that pricing is inclusive of all costs and confirm whether the quoted price remains firm for the full one-year duration of the contract. The form requires an authorized signature from a bidder representative or company officer legally authorized to bind the organization, along with a certification that no conflict of interest exists. A certificate of insurance must be provided before the purchase order or contract can be executed. Vendors already registered on the Colorado Vendor Self-Service (VSS) system should provide their vendor number on the form.
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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 2027000027
DQ Title:Boiler Chemicals & Treatment SRVS CSP
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 .