44DOC-S3611-Vendor-Information-Response.pdf

This is a Vendor Information Response form issued by the State of Nevada Department of Corrections (44DOC) for use in state and local contract opportunities. The form serves as a standardized template that vendors must complete and submit as part of their proposal submissions. 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 designate a contact person for questions and contract negotiations, providing that individual's name, title, address, and communication details. The form applies to all prime contractors and any subcontractors included in a proposal, with each entity required to complete the form separately.

The form also requires vendors to disclose critical business and compliance information, including overall company profiles, current licensing status with the Nevada Secretary of State's Office, and any prior experience working with State of Nevada agencies. Vendors must disclose whether they employ or have employed any current or former state employees within the past two years who will be performing work on the contract. Additionally, vendors must fully disclose any significant prior or ongoing contractual failures, breaches, civil or criminal litigation, or pending claims and litigation occurring within the past six years that may affect their ability to perform. The form includes sections for payment authorization for procurement card use and requires the signature of an individual authorized to bind the organization, certifying the accuracy of the information provided and compliance with lobbying and indemnification requirements.