5. Exhibit E - Offeror Disclosure Stmt.pdf
PDF 120 KB Posted
- Attached to
- Coiled Aluminum - CCi
- Solicitation number
- IFB1 CFAA 2026000179 2
- Issued by
- Garfield County, Colorado
About this file
This is an Offeror Disclosure Statement form from the Colorado Department of Corrections for the State of Colorado, issued in conjunction with Solicitation Number IFB 2026000179. The form requires prospective vendors to disclose information regarding contract performance locations and any work performed outside the United States or the State of Colorado prior to or as a requirement for contracting with the State of Colorado. Vendors must complete and return the disclosure statement to the contracting state agency or institution of higher education. The form is not applicable to contracts under Medicare, the Colorado Medical Assistance Act, the Children Basic Health Plan Act, or the Colorado Indigent Care Program, nor is it required for construction contracts.
The disclosure statement requires vendors to identify the county or counties and state or states where services under the contract, including any subcontracts, will be performed. If services are anticipated to be performed outside of the United States or the State of Colorado, vendors must provide an explanation of why such performance outside these geographic boundaries is necessary or advantageous. The form requires the vendor's name, signature, date, printed name, and title from the authorized representative submitting the disclosure.
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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 2026000179
3. Vendor Name:_____________________________________________________________________
4. Where will the services under the contract, including any subcontracts, be performed? List all county(ies) and state(s).
5. 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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