5. Exhibit E - Offeror Disclosure Stmt.pdf

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Attached to
Virtual Reality Equipment and Software State and local contract opportunity
Solicitation number
2025000262
Issued by
Garfield County, Colorado

About this file

Exhibit E is a Contract Performance Outside of the United States of Colorado Disclosure Statement from the Colorado Department of Corrections for Solicitation Number RFP 2025000262. The document is a standard form that requires prospective offerors to disclose where services under the contract, including any subcontracts, will be performed, and to explain any anticipated work outside of the United States or State of Colorado.

The form is specifically exempted from certain types of contracts, including those related to Medicare, Colorado Medical Assistance, Children's Basic Health Plan, Colorado Indigent Care Program, and construction contracts. Offerors are required to complete sections detailing the counties and states where services will be performed, and provide justification if any work is expected to occur outside of the United States or Colorado. The form requires the offeror's signature, printed name, and title, serving as a transparency mechanism for contract performance locations.

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Text version

Exhibit E

Colorado Department of Corrections

State of Colorado – Contract Management Information

Offeror 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 Offeror 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 Offeror shall complete this Offeror 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 2025000262

2. Offeror 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 .