5. Exhibit E - Offeror Disclosure Stmt.pdf
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- Solicitation number
- IFB1 CAAA 2026000156 1
- Issued by
- Garfield County, Colorado
About this file
This is an Offeror Disclosure Statement form issued by the Colorado Department of Corrections for prospective vendors seeking state contracts. The form requires vendors to disclose information related to contract performance and is applicable to most service contracts, excluding those funded through Medicare, the Colorado Medical Assistance Act, the Children Basic Health Plan Act, or the Colorado Indigent Care Program, as well as construction contracts. Vendors must provide their solicitation number, company name, and identify all counties and states where services will be performed under the contract and any subcontracts.
If services are anticipated to be performed outside the United States or the State of Colorado, vendors must explain the necessity or advantages of performing work outside these jurisdictions. The disclosure statement requires vendor signature, printed name, title, and date of completion, ensuring accountability and transparency in the contracting process.
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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 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: IFB # __________________________________________________________
2. Vendor 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: _____________________________________
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