5. Exhibit E - Contract Performance Outside ther US or Colorado.pdf

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Attached to
Metal Products - CCi
Solicitation number
RFP CFAA 2027000069 1
Issued by
Garfield County, Colorado

About this file

This is a Vendor Disclosure Statement form from the Colorado Department of Corrections for the State of Colorado, specifically required for RFP 2027000069 related to Metal Products procured through CCi. The form mandates that prospective vendors disclose information regarding contract performance locations prior to contracting or as a solicitation requirement. Vendors must complete and return the disclosure statement to the contracting state agency, identifying all counties and states where services, including any subcontract work, will be performed. The form applies to all contracts except those under Medicare, the Colorado Medical Assistance Act, the Children Basic Health Plan Act, and the Colorado Indigent Care Program, as well as construction contracts.

If services are anticipated to be performed outside the United States or the State of Colorado, vendors must explain why such performance outside these geographic boundaries is necessary or advantageous. The disclosure statement requires contractor name, service performance location information, and justification for any out-of-state or international work, along with authorized signature, date, printed name, and title of the individual completing the form.

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Text version

Exhibit E (Complete and Return)

Colorado Department of Corrections

State of Colorado – Contract Management Information

Vendor Disclosure Statement

Contract Performance Outside of the United States of Colorado

Prior to Contracting, or as a requirement for the solicitation of any contract for services from the State of Colorado, a prospective vendor is required to disclose the following information in a statement of work.

Completing this Form

• To the extent the following information has not previously been disclosed in a statement of work, a prospective vendor shall complete this Vendor Disclosure Statement and return it to the contracting state agency or institution of higher education (IHE).

• This Disclosure Statement is not required for contracts under Medicare, the “Colorado Medical

Assistance Act”, Articles 4 to 6 of Title 25.5 C.R.S., the “Children Basic Health Plan Act”, Article 8 of Title 25.5, C.R.S, or the “Colorado Indigent Care Program”, Part 1 of Article 3 of

Title 25.5 C.R.S.

• This Disclosure Statement is not required for Construction contract.

1. Solicitation Number: RFP 2027000069

2. Contractor Name:___________________________________________________________________

3. Where will the services under the contract, including any subcontracts, be performed? List all county(ies) and state(s).

4. If it is anticipated that services under the contract or any subcontracts will be performed outside of the United States or the State of Colorado, explain why it is necessary or advantageous to go outside the United States or the State of Colorado to perform the contract or any subcontracts.

Signature: __________________________________ Date:_____________________________________

Printed Name: ______________________________ Title: _____________________________________

File details come from the government source that posted it. Updated .