5. Exhibit E - Contract Performance Outside of the US.pdf

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Attached to
Documented Quote - Cameras & Accessories for TCF
Solicitation number
DQ1 CAAA 2027000161 1
Issued by
Garfield County, Colorado

About this file

This document is Exhibit E, a vendor disclosure and notification form required by the Colorado Department of Corrections for non-construction contracts under solicitation number DQ 2027000161. The form serves as notice to the Department of Personnel in accordance with Colorado Revised Statutes 24-102-206 when a vendor or its subcontractor intends to perform services outside the United States or the State of Colorado. Bidders are required to complete and return this form with their bid submission to the sole contact listed in the solicitation. The form applies to the related contract opportunity for Cameras & Accessories for TCF in Colorado.

The form requires vendors to disclose whether any services under the contract or subcontracts will be performed outside the United States or Colorado by answering yes or no. If services will be performed outside these jurisdictions, vendors must describe the type of services (such as software, hosting, technical and product support, server and monitoring systems, or design and development), identify the specific country or state where services will be performed, and explain the necessity or advantage of performing work outside the United States or Colorado. The form must be signed by an authorized signatory such as the business president, board chairperson, or contract authorized representative and include the contractor name, printed name, title, and date. The procurement section of the form includes fields for the solicitation number, contract type, services performed outside the U.S. or Colorado, and verification of whether the vendor provided notice within 20 days of contracting or deciding to contract outside the United States or Colorado.

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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 2027000161 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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