5. Exhibit E - Vendor Disclosure Stmt.pdf
PDF 296 KB Posted
- Attached to
- Hygiene Products - Canteen
- Solicitation number
- DQ 2025000151
- Issued by
- Garfield County, Colorado
About this file
This document is an Exhibit E Vendor Disclosure Statement from the Colorado Department of Corrections for solicitation number DQ 2025000151, related to a Hygiene Products - Canteen contract opportunity. The form requires prospective vendors to disclose information about where contract services will be performed, including potential work outside of Colorado or the United States. The disclosure is mandatory for contract solicitations, with specific exceptions noted for certain medical and healthcare contracts and construction contracts.
The disclosure form requires vendors to list the counties and states where services will be performed, and if services are anticipated to be performed outside of Colorado or the United States, vendors must explain why such external performance is necessary or advantageous. The form includes signature lines for a vendor representative to complete, documenting their commitment to transparency regarding contract performance locations. This document appears to be a standard compliance form ensuring vendors provide clear information about their proposed service delivery locations for the Colorado Department of Corrections' Canteen Services contract.
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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 2025000151
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 .