5. Exhibit E - Vendor Disclosure Stmt.pdf

PDF 149 KB Posted

Attached to
CDOC Warehouse Fresh Produce Order
Solicitation number
DQ1 CAAA 2026000147
Issued by
Garfield County, Colorado

About this file

This document is a Vendor Disclosure Statement from the Colorado Department of Corrections, specifically Exhibit E for Contract Management Information. The form requires prospective vendors to disclose details about contract performance locations for state service contracts. The disclosure is mandatory prior to contracting, with specific exemptions noted for certain healthcare and medical assistance contracts, as well as construction contracts.

The form requires vendors to provide information including the solicitation number (DQ 2026), vendor name, locations where services will be performed, and a detailed explanation if any services are anticipated to be performed outside of the United States or Colorado. Vendors must explain the necessity or advantage of performing work outside these jurisdictions. The document is designed to ensure transparency about the geographic scope of potential contract work, with a space for vendor signature, printed name, title, and date of completion.

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Text version

Exhibit E

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: DQ 2026__________________________________________________

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: _____________________________________

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