5. Exhibit E - Vendor Disclosure Stmt.pdf
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- Solicitation number
- DQ1 CAAA 2026000179 1
- Issued by
- Garfield County, Colorado
About this file
This is a Vendor Disclosure Statement form required by the Colorado Department of Corrections for prospective vendors seeking state contracts. The form applies to Solicitation Number DQ 2026 and requires vendors to disclose the geographic locations where contract services, including any subcontract work, will be performed. Specifically, vendors must identify all counties and states where services will be delivered. If any portion of the work is anticipated to occur outside the United States or the State of Colorado, vendors must provide a detailed explanation of the necessity or business advantage for performing services outside these geographic boundaries.
The disclosure statement is mandatory for all prospective vendors prior to contracting or during the solicitation process, with specific exceptions for contracts under Medicare, the Colorado Medical Assistance Act, the Children Basic Health Plan Act, and the Colorado Indigent Care Program. Construction contracts are also exempt from this disclosure requirement. Vendors must complete the form by providing their company name, identifying all service locations, and signing and dating the statement with their printed name and title. This disclosure mechanism serves as a pre-award compliance tool to ensure transparency regarding where contracted services will be performed and to establish clear justification for any work performed outside traditional state and national boundaries.
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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 .