5. Exhibit E - Vendor Disclosure Stmt.pdf
PDF 149 KB Posted
- Attached to
- CDOC Warehouse Fresh Produce Order
- Solicitation number
- DQ CAAA 2026000169
- Issued by
- Garfield County, Colorado
About this file
This document is a Vendor Disclosure Statement from the Colorado Department of Corrections, specifically Exhibit E related to contract performance outside of the United States or Colorado. The form requires prospective vendors to disclose details about where services will be performed for state contracts, with specific exemptions for certain healthcare-related contracts and construction contracts. The document provides a template for vendors to indicate the solicitation number, vendor name, location of service performance, and potential reasons for performing services outside of Colorado or the United States.
The disclosure statement is part of the state's contract management information process, designed to ensure transparency about service delivery locations. Vendors are required to complete this form prior to contracting or during the solicitation process, providing comprehensive information about their proposed service locations. The form is not mandatory for specific types of contracts, including Medicare, Colorado Medical Assistance, Children's Basic Health Plan, and Colorado Indigent Care Program contracts. The document includes signature lines for the vendor to confirm the accuracy of the disclosed information, with spaces for date, printed name, and title.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .