5. Exhibit E - Vendor Disclosure Stmt.pdf
PDF 150 KB Posted
- Attached to
- Avigilon Cameras and Accessories
- Solicitation number
- DQ 2025000366
- Issued by
- Garfield County, Colorado
About this file
The document is a Vendor Disclosure Statement from the Colorado Department of Corrections for Solicitation Number DQ 2025000366, which requires prospective vendors to disclose information about contract performance locations. This form is specifically designed to capture details about where services will be performed, with particular emphasis on work conducted outside of the United States or Colorado. The form is mandatory for most state contracts, with explicit exceptions noted for certain medical and healthcare-related contracts and construction projects.
The disclosure statement requires vendors to specify the counties and states where contract services will be performed and provide justification if any work is anticipated to occur outside of the United States or Colorado. Vendors must complete and sign the form, detailing their company name, service locations, and reasoning for any out-of-state or out-of-country work. This document appears to be part of the procurement process for the Avigilon Cameras and Accessories contract, which aims to update and replace camera systems at multiple Colorado Department of Corrections facilities.
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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 2025000366
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 .