5. Exhibit E - Contract Performance Outside of the US.pdf
PDF 203 KB Posted
- Attached to
- Mattress Cores - CCi
- Solicitation number
- DQ1 CFAA 2027000046 3
- Issued by
- Garfield County, Colorado
About this file
This is a vendor disclosure and notification form required by the Colorado Department of Corrections (CDOC) for state and local contract opportunities involving services performed outside the United States or Colorado. The form must be completed and returned by bidders as part of their proposal submission. The document applies to the Mattress Cores procurement opportunity (Solicitation Number DQ 2027000046) and serves as notice to the Department of Personnel when a vendor intends to perform contract services outside the United States or the State of Colorado, in accordance with Colorado Revised Statutes 24-102-206.
The form requires vendors to disclose whether any services or subcontract work will be performed outside the United States or Colorado, and if applicable, to describe the types of services, specify the countries or states where performance will occur, and provide justification for performing work outside the specified jurisdictions. The form must be signed by the contractor's President, Board Chairperson, or authorized signatory and returned to the sole contact listed on the solicitation. The procurement office must verify whether the vendor provided required notice within 20 days of contracting or deciding to contract outside the US or Colorado. Failure to complete and return this disclosure form may impact bid consideration or contract award eligibility.
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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: DQ 2027000046 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
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