5. Exhibit E - Contract Performance Outside of the US.pdf
PDF 388 KB Posted
- Attached to
- Boiler Chemicals & Treatment SRVS BVCF
- Solicitation number
- DQ1 CAAA 2027000132 1
- Issued by
- Garfield County, Colorado
About this file
Exhibit E is a vendor disclosure and notification form required by the Colorado Department of Corrections for non-construction contracts under solicitation number DQ 2027000132. This form serves as notice to the Department of Personnel in accordance with Colorado Revised Statutes 24-102-206 that a vendor may perform services outside the United States or the State of Colorado. Contractors must complete and return this form with their bid submission, with completion by the business President, Board Chairperson, or Contract's Authorized Signatory. The form requires vendors to disclose whether any services or subcontracted services will be performed outside the United States or Colorado, and if so, to identify the specific services, locations (countries and/or states), and justification for performing work outside these jurisdictions.
The document includes sections for procurement use only, including notation of the solicitation number, contract type (identified as a Purchase Order), type of 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 US or Colorado. The form contains multiple blank fields for contractor information and signatures, and appears to be presented in duplicate within the document. No specific pricing terms, set-asides, incumbents, or funding information is provided in this disclosure form.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 2027000132 Type of Contract: Purchase Order Type of Services Performed Outside the U.S. or Colorado:
Jennifer Garvin Highlight
Jennifer Garvin Highlight
Jennifer Garvin Highlight
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_______________ |
File details come from the government source that posted it. Updated .