5. Exhibit E - Contract Performance Outside of the US.pdf
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- Solicitation number
- DQ1 CAAA 2027000037 2
- Issued by
- Garfield County, Colorado
About this file
This document is a Vendor Disclosure and Notification form (Exhibit E) issued by the Colorado Department of Corrections (CDOC) for solicitation number DQ 2027000037, relating to a Purchase Order for Boiler Chemicals and Treatment Services at TCF. The form serves as a disclosure requirement under Colorado Revised Statutes 24-102-206 and must be completed and returned with bids. Vendors are required to disclose whether any services under the contract or subcontracts will be performed outside the United States or the State of Colorado. If services are to be performed outside these jurisdictions, bidders must identify the specific services, list the countries or states where work will occur, and explain the necessity or advantage of performing work outside the United States or Colorado.
The form requires completion by the contractor's President, Board Chairperson, or authorized signatory and must be submitted to the Sole Contact listed in the solicitation. Upon contract award, if a vendor has provided written notice of out-of-state or out-of-country performance, the procuring agency must notify the Department of Personnel. Vendors are required to provide such notice within twenty days of contracting or deciding to contract outside the US or Colorado. The form includes designated fields for procurement use only to track whether vendor notification was provided within the required timeframe.
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Text version
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 or 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 2027000037 Type of Contract: Purchase Order 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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