43ADG-S3625 Vendor-Information-Response.pdf

This is a Vendor Information Response form for State of Nevada procurement contract 43ADG-S3625, revised in April 2021. The form serves as a standardized template that vendors must complete and submit as part of their proposal responses. Vendors are required to provide comprehensive company contact information, including the company name, street address, telephone and toll-free numbers, and email address. Additionally, vendors must identify a primary contact person for questions and contract negotiations, including their name, title, address, and contact information. The form requires vendors to submit an overall company profile and disclose any relevant licensing information, as well as document any prior experience performing work for State of Nevada agencies.

The form also mandates disclosure of vendor relationships with current or former State of Nevada employees who may be involved in contract performance, along with any significant prior or ongoing contractual issues, breaches, litigation, or claims occurring within the past six years that could adversely affect the vendor's ability to perform. Vendors must authorize payment methods, identify the individual authorized to bind the organization, and certify compliance with lobbying regulations and indemnification requirements. Importantly, out-of-state corporations must register with the Nevada Secretary of State as foreign corporations before contract execution, and vendors must obtain appropriate Nevada business licenses pursuant to Nevada Revised Statutes before commencing work in the state.