5. Exhibit E - Vendor Disclosure Stmt.pdf
PDF 150 KB Posted
- Attached to
- Cordless Rechargeable Shavers
- Solicitation number
- 2025000081
- Issued by
- Denver County, Denver City, Colorado
About this file
This document is a Vendor Disclosure Statement from the Colorado Department of Corrections for solicitation number DQ 2025000081, which requires prospective vendors to disclose details about contract performance locations. The form is specifically designed to capture information about where services will be performed, including any subcontracted work, both within and outside of the United States and the State of Colorado. If services are anticipated to be performed outside these jurisdictions, vendors must explain the necessity or advantages of doing so.
The disclosure statement is not required for certain types of contracts, including those under Medicare, Colorado Medical Assistance Act, Children Basic Health Plan Act, Colorado Indigent Care Program, or construction contracts. Vendors must complete the form prior to contracting or as part of a service solicitation, providing details about service locations, counties, and states involved in the contract performance. The form requires vendors to sign and date the document, affirming the accuracy of the disclosed information.
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 2025000081
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: _____________________________________ smlucero Cross-Out
File details come from the government source that posted it. Updated .