5. Exhibit E - Vendor Disclosure Stmt.pdf
PDF 149 KB Posted
- Attached to
- Fresh Eggs - Request for Quote
- Solicitation number
- DQ1 CAAA 2026000382 1
- Issued by
- Garfield County, Colorado
About this file
This is a Vendor Disclosure Statement form related to a Fresh Eggs Request for Quote procurement opportunity in Colorado. The document serves as a standardized disclosure form that vendors must complete to provide information about their business entity, ownership structure, and any relevant affiliations or relationships. The form requires vendors to disclose details such as their business name, address, type of business organization (sole proprietorship, partnership, corporation, etc.), ownership information, and any connections to other vendors or entities that may be bidding on the same opportunity. The disclosure statement is designed to ensure transparency in the procurement process and allow the purchasing agency to identify potential conflicts of interest or other material information relevant to vendor qualification and selection.
The Vendor Disclosure Statement functions as a mandatory compliance document within Colorado's procurement framework for the Fresh Eggs quote. Vendors submitting bids are required to complete and submit this form as part of their proposal package. The disclosure requirements help the state evaluate vendor integrity, independence, and suitability for contract award. Completing this form accurately and thoroughly is essential for bid acceptance, and any misrepresentations or omissions could result in bid rejection or contract cancellation. The form ensures that all bidders operate under the same transparency requirements and provides the procurement agency with information necessary to make informed decisions regarding vendor selection and contract administration.
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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: _____________________________________
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