5. Exhibit D - Contract Performance Outside of the US.pdf
PDF 310 KB Posted
- Attached to
- Freezer Compressor Repair
- Solicitation number
- DQ1 CAAA 2026000471 2
- Issued by
- Garfield County, Colorado
About this file
This document is a vendor disclosure and notification form issued by the Colorado Department of Corrections (CDOC) for non-construction contracts requiring disclosure of work performed outside the United States or Colorado. The form applies to solicitation number DQ 2026000471 for freezer compressor repair services. Bidders must complete and return the form with their bid submissions, providing written notice if any contract services or subcontracted services will be performed outside the United States or the State of Colorado. The form requires the business president, board chairperson, or authorized contract signatory to complete all applicable sections and sign the disclosure.
The form requires vendors to specify the types of services to be performed outside the U.S. or Colorado, identify the specific countries and states where work will occur, and provide justification for performing services outside these jurisdictions. Vendors must also confirm whether they provided notice within 20 days of contracting or deciding to contract outside the U.S. or Colorado, in accordance with Colorado Revised Statutes 24-102-205 and 24-102-206. The document serves as official notification to the Department of Personnel of any out-of-state or out-of-country service performance and must be completed for procurement purposes.
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Other files
| File | Type | Posted |
|---|---|---|
| 000_0004.JPG | JPG image | |
| 1. Exhibit A - Statement of Work, Specifications, Bidder Response.pdf | ||
| Written Inquiries and Answers.pdf | ||
| 2. Exhibit B - Required Vendor Information - Services.pdf | ||
| 11. Attachment 2 - Insurance Information.pdf | ||
| 0. DQ 26-0471 Freezer Compressor Repair - Mod 1.pdf | ||
| 000_0001.JPG | JPG image | |
| 000_0003.JPG | JPG image | |
| 10. Attachment 1 - PO Terms & Conditions.pdf | ||
| 000_0006.JPG | JPG image | |
| 000_0005.JPG | JPG image | |
| 7. Exhibit F - Consent to Search.pdf | ||
| 6. Exhibit E - Non-Conflict of Interest.pdf | ||
| 3. Exhibit C - W-9 Request for Taxpayer ID Number.pdf | ||
| 000_0002.JPG | JPG image |
Show all 15
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Text version
EXHIBIT D
CONTRACT PERFORMANCE OUTSIDE THE UNITED STATES OR
COLORADO
COLORADO DEPARTMENT OF CORRECTIONS (CDOC)
STATE OF COLORADO
(You must complete and return this document with Bid)
VENDOR DISCLOSURE & NOTIFICATION (NON-CONSTRUCTION)
In accordance with the Colorado Revised Statues §24-102-206(1)(a) or CRS §24-102-206(b), this form serves as notice to the Department of Personnel, that the undersigned governmental body awarded a contract to a vendor that has provided written notice pursuant to CRS §24-102- 205(1)(a) or CRS §24-102-205(b) that the vendor or the vendor’s subcontractor will perform services under the contract outside the United States or the State of Colorado to perform such services.
The person completing this form should be the business’ President, Board Chairperson, Contract’s Authorized Signatory.
Contractor Name:
This form shall be completed and returned to the Sole Contact listed on the solicitation.
1. Are any services under the contract or any subcontracts anticipated to be performed outside the United States of Colorado? Please Answer Yes or No.
If “Yes”, please complete the following two questions and then sign the form.
If “No”, please sign the form.
2. Type of Service(s) Performed Outside of the U.S. or Colorado. Describe all services to be performed (e.g. Software, Hosting, Technical & Product Support, Server & Monitoring System, Design & Development, etc.).
3. Where will the services be performed under the PO/Contract, including any subcontracts?
(List country(ies) and/or state(s)).
4. Explain why it is necessary or advantageous to go outside the United States or the State of Colorado to perform the services under the contract or any subcontracts.
Signature:__________________________ Printed Name:________________________
Title: _____________________________ Date:_______________________________
FOR PROCUREMENT USE ONLY
Solicitation Number: DQ 2026000471 Type of Contract: Freezer Compressor Repair Type of Services Performed Outside the U.S. or Colorado:
Did the vendor provide notice within 20 days of contracting or deciding to contract outside the US or Colorado Yes_________ No_______________
| EXHIBIT E | |
| CONTRACT PERFORMANCE OUTSIDE THE UNITED STATES OR COLORADO | |
| COLORADO DEPARTMENT OF CORRECTIONS (CDOC) | |
| STATE OF COLORADO | |
| (You must complete and return this document with Bid) | |
| VENDOR DISCLOSURE & NOTIFICATION (NON-CONSTRUCTION) | |
| In accordance with the Colorado Revised Statues §24-102-206(1)(a) or CRS §24-102-206(b), this form serves as notice to the Department of Personnel, that the undersigned governmental body awarded a contract to a vendor that has provided written notice pursuant to CRS §24-102-205(1)(a) or CRS §24-102-205(b) that the vendor or the vendor’s subcontractor will perform services under the contract outside the United States or the State of Colorado to perform such services. | |
| The person completing this form should be the business’ President, Board Chairperson, Contract’s Authorized Signatory. | |
| Contractor Name: | |
| This form shall be completed and returned to the Sole Contact listed on the solicitation. | |
| 1. Are any services under the contract or any subcontracts anticipated to be performed outside the United States of Colorado? Please Answer Yes or No. | |
| If “Yes”, please complete the following two questions and then sign the form. | |
| If “No”, please sign the form. | |
| 2. Type of Service(s) Performed Outside of the U.S. or Colorado. Describe all services to be performed (e.g. Software, Hosting, Technical & Product Support, Server & Monitoring System, Design & Development, etc.). | |
| 3. Where will the services be performed under the PO/Contract, including any subcontracts? (List country(ies) and/or state(s)). | |
| 4. Explain why it is necessary or advantageous to go outside the United States or the State of Colorado to perform the services under the contract or any subcontracts. | |
| Signature:__________________________ | Printed Name:________________________ |
| Title: _____________________________ | Date:_______________________________ |
| FOR PROCUREMENT USE ONLY | |
| Solicitation Number: | |
| Type of Contract: | |
| Type of Services Performed Outside the U.S. or Colorado: | |
| Did the vendor provide notice within 20 days of contracting or deciding to contract outside the US or Colorado Yes_________ No_______________ |
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