2. Exhibit B - Required Vendor Information - Services.pdf
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- Solicitation number
- DQ1 CAAA 2027000071 2
- Issued by
- Garfield County, Colorado
About this file
This document is a Required Vendor Information form for services issued by the Colorado Department of Corrections (CDOC) for DQ #CAAA 20270000071, a boiler chemicals and treatment services contract for the Fremont Correctional Facility (FCF). The form must be completed and submitted by the bidder's deadline as part of the quote package. The form requires the bidder to provide standard vendor identification information including legal company 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 whether they are registered on the Colorado Vendor Self-Service (VSS) system and provide their vendor number if applicable. The form requires the bidder to specify the expected start and completion dates for the contract term.
The form requests confirmation regarding pricing structure, specifically whether the quoted price is inclusive of all costs and whether the pricing remains firm for the one-year duration of the purchase order or contract. The document certifies that the authorized signatory accepts all terms and conditions of the solicitation and its attachments, and acknowledges that no conflict of interest exists. The form notes that a certificate of insurance is required before the purchase order or contract can be executed. The authorized agent of the bidding company must sign and date the document to validate 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 #: CAAA 20270000071
DQ Title: Boiler Chemicals & Treatment Services – FCF
This sheet must be filled out and signed by the Bidder(s) or an officer of the Bidder(s) who is legally authorized to bind the Bidder(s) 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:____________
File details come from the government source that posted it. Updated .