40DHHS-S3885 -Vendor-Information-Response.pdf

This is a Vendor Information Response form established by the State of Nevada Purchasing Division on behalf of the Department of Human Services/Division of Child and Family Services for a behavioral hospital laundry service procurement. The form must be completed and returned by all vendors submitting proposals, including any identified subcontractors. The document requests comprehensive vendor contact information, including company name, address, telephone, toll-free number, and email address, along with designated contact person details for questions and contract negotiations. Vendors must provide an overall company profile and demonstrate appropriate licensing compliance with Nevada state requirements, including registration with the Secretary of State's Office as a foreign corporation if applicable and obtaining a Nevada Business License pursuant to NRS 76 and NRS 80.010.

The form requires vendors to disclose any prior experience with State of Nevada agencies, identify current or former state employees who will be performing work under the contract, and fully disclose any significant prior or ongoing contractual issues, breaches, litigation, or pending claims within the past six years that may adversely affect performance capability. Vendors must also authorize payment through procurement cards and identify the individual authorized to bind the organization, along with that individual's signature. The form serves as a standardized disclosure and compliance document ensuring all bidders meet baseline eligibility and transparency requirements before contract award consideration.