5. Exhibit E - Vendor Disclosure Stmt.pdf
PDF 250 KB Posted
- Attached to
- Concrete Replacement - Pueblo Complex
- Solicitation number
- DQ1 CAAA 2026000217 5
- Issued by
- Garfield County, Colorado
About this file
This is a Vendor Disclosure Statement form from the Colorado Department of Corrections for a Concrete Replacement project at the Pueblo Complex, with solicitation number DQ 2026000217. The form requires prospective vendors to disclose information prior to contracting with the State of Colorado. Vendors must identify where services under the contract, including any subcontracts, will be performed by listing all applicable counties and states. The form applies to all state contracts except those funded through Medicare, the Colorado Medical Assistance Act, the Children Basic Health Plan Act, or the Colorado Indigent Care Program, and does not apply to construction contracts.
Vendors are required to explain whether any services or subcontract work will be performed outside the United States or the State of Colorado and, if so, provide justification for why such performance is necessary or advantageous. The completed disclosure statement must be signed and dated by an authorized representative of the vendor, including printed name and title. This disclosure requirement ensures the state can assess vendor performance location decisions and their alignment with state economic interests prior to contract award.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| image0 (3).jpeg | JPEG file | |
| 5.6 Exhibit F - PO Terms and Conditions eff0825.pdf | ||
| Written Inquiries and Answers.pdf | ||
| 1. Exhibit A - Offerer DQ Checklist.pdf | ||
| image0 (7).jpeg | JPEG file | |
| image0 (1).jpeg | JPEG file | |
| 4. Exhibit D - Price Proposal.xlsx | XLSX spreadsheet | |
| 2. Exhibit B - Required Vendor Information - Services.pdf | ||
| image0 (2).jpeg | JPEG file | |
| 9. Attachment B - Consent to Search form.pdf | ||
| 3. Exhibit C - W-9 Request for Taxpayer ID Number.pdf | ||
| 8. Attachment A - Insurance Information.pdf | ||
| image0 (4).jpeg | JPEG file | |
| 7. Exhibit H - Non-conflict of Interest - Respondent.pdf | ||
| image0 (9).jpeg | JPEG file | |
| 6a. Exhibit G - General Information 032725.pdf | ||
| image0 (8).jpeg | JPEG file | |
| image0 (6).jpeg | JPEG file | |
| image0 (5).jpeg | JPEG file |
Show all 19
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 2026000217
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 .