43ADG-S3728 Vendor-Information-Response.pdf

This is a Vendor Information Response form for the State of Nevada (GovTribe ID: 047a19a187cc43a248150071fff7188c, RFP 43ADG-S3728). The document serves as a standardized template that vendors must complete and submit as part of their proposal submissions. All vendors are required to provide comprehensive company contact information, including company name, street address, city, state, zip code, telephone number, toll-free number, and email address. Additionally, vendors must identify a primary contact person for questions and contract negotiations, including that individual's name, title, address, email, and telephone numbers. The form was revised in April 2021 and applies to both prime contractors and any subcontractors included in a proposal.

The form requires vendors to provide an overall company profile and demonstrate vendor licensing compliance with Nevada Revised Statutes (NRS 80.010 and NRS 76), including foreign corporation registration with the Nevada Secretary of State's Office prior to contract execution. Vendors must disclose any prior experience with State of Nevada agencies, current or former employment of state agency personnel, and any significant prior or ongoing contractual issues, contract failures, breaches, or litigation occurring within the past six years that may affect their ability to perform. The form also requires identification of an individual authorized to bind the organization and signature authorization. Payment authorization information for procurement card use and confidentiality and indemnification certifications regarding lobbying are required components of the vendor response.