2. Exhibit B - Required Vendor Information - Services.pdf
PDF 138 KB Posted
- Solicitation number
- DQ1 CAAA 2027000028 2
- Issued by
- Garfield County, Colorado
About this file
This is a Required Vendor Information form for services from the Colorado Department of Corrections (CDOC). The document serves as a submission requirement for vendors responding to a Documented Quote opportunity for Boiler Chemicals & Treatment Services at AVCF (Arkansas Valley Correctional Facility). Bidders must complete and submit this form by the submission deadline, signed by an authorized representative. The form requests standard vendor information including legal company name, doing business as designation, primary contact details, FEIN, and VSS vendor number if applicable. Vendors must also provide their expected start and completion dates along with their quote number.
The form requires vendors to certify that quoted pricing is inclusive of all costs and confirm whether pricing will remain firm for the one-year duration of the Purchase Order or Contract. Vendors must also acknowledge acceptance of all terms and conditions of the solicitation and certify that no conflict of interest exists. Submission of a certificate of insurance is required before a Purchase Order or Contract can be executed. The authorized signatory attests to the accuracy of the information provided and the vendor's ability to fulfill the contract 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 .