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

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Attached to
Boiler Chemicals & Treatment SRVS at AVCF - Documented Quote
Solicitation number
DQ1 CAAA 2027000028 2
Issued by
Garfield County, Colorado

About this file

Exhibit E – Contract Performance Outside the United States or Colorado

This is a vendor disclosure and notification form issued by the Colorado Department of Corrections (CDOC) for non-construction contracts related to boiler chemicals and treatment services at AVCF. The form must be completed and returned with the bid submission and serves as notice to the Department of Personnel when a vendor or subcontractor will perform services outside the United States or the State of Colorado. The document requires the contractor's authorized signatory (President, Board Chairperson, or Contract's Authorized Signatory) to certify whether any contract services will be performed outside the U.S. or Colorado, and if so, to identify the specific services, locations, and justification for performing work outside these jurisdictions. Bidders must answer a yes-or-no question regarding anticipated performance outside the United States or Colorado, with affirmative responses requiring completion of additional disclosure sections detailing service types, geographic locations, and business rationale.

The form includes fields for procurement use only to document the solicitation number, contract type, services performed outside the U.S. or Colorado, and whether the vendor provided required notice within 20 days of contracting or deciding to contract outside the U.S. or Colorado. Compliance with Colorado Revised Statutes CRS 24-102-205 and CRS 24-102-206 is mandatory, establishing statutory requirements for vendor disclosure when work is performed internationally or outside Colorado's borders. No pricing, award dates, or contract terms are specified in this disclosure document, as it functions solely as a compliance notification form for the procurement process.

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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:

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_______________

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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