5. Exhibit E - Contract Performance Outside of the US.pdf
PDF 139 KB Posted
- Attached to
- Cable TV Repair Services
- Solicitation number
- DQ1 CFCA 2026000494 2
- Issued by
- Garfield County, Colorado
About this file
This is a vendor disclosure and notification form for contract performance outside the United States or Colorado, required by the Colorado Department of Corrections (CDOC) for non-construction services under solicitation number 2026000494. The form serves as notice to the Department of Personnel when a vendor intends to perform services outside the United States or the State of Colorado. Bidders must complete and return this document with their bid submission to the sole contact listed on the solicitation. The form requires vendors to disclose whether any services under the contract or subcontracts will be performed outside these geographic boundaries and, if so, to identify the type of services, location(s) where services will be performed, and the rationale for performing work outside the United States or Colorado.
The form mandates that the person completing the disclosure be an authorized signatory, such as the business president, board chairperson, or contract's authorized representative, and must include signature, printed name, title, and date. For procurement use, the form documents the contract type, services performed outside the U.S. or Colorado, and whether the vendor provided notice within 20 days of contracting or deciding to contract outside these jurisdictions. This disclosure requirement ensures compliance with Colorado Revised Statutes 24-102-206 and 24-102-205 regarding vendor transparency on offshore or out-of-state service delivery arrangements.
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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 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:2026000494 Type of Contract: Services 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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