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

PDF 309 KB Posted

Attached to
Administrative Hearing Officer - Parole Board
Solicitation number
DQ1 CAAA 2027000125 1
Issued by
Garfield County, Colorado

About this file

This is a Required Vendor Information form (Exhibit B) for services submitted to the Colorado Department of Corrections (CDOC) in response to Solicitation DQ #2027000125 for an Administrative Hearing Officer position supporting the Parole Board. The form requires bidders to provide comprehensive company and contact information, including legal business name, doing business as designation, primary contact details, remit-to address, phone numbers, email, and Federal Employer Identification Number (FEIN). Bidders must also indicate their vendor registration status on the Colorado Vendor Self-Service (VSS) system and confirm whether their quoted pricing will remain firm for the one-year duration of the Purchase Order or Contract. The document must be completed, signed by an authorized representative of the bidding entity, and submitted by the stated deadline.

By executing this form, the authorized agent certifies acceptance of all terms and conditions of the solicitation and its attachments, and confirms the absence of any conflict of interest. The form notes that a certificate of insurance will be required prior to Purchase Order or Contract execution. This document serves as a binding acknowledgment that establishes the bidder's legal commitment to the proposed terms and conditions outlined in the solicitation.

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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 #: 2027000125

DQ Title: Administrative Hearing Officer - Parole Board

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:

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 .