65DPS-S3744-Vendor-Information-Response.pdf

This is a Vendor Information Response form used by the State of Nevada Department of Public Safety for state and local contract opportunities. The form serves as a standardized template that vendors must complete and submit as part of their proposal submission process. Vendors are required to provide comprehensive company contact information, including company name, street address, city, state, zip code, telephone number, toll-free number, and email address. Additionally, vendors must designate a primary contact person for questions and contract negotiations, providing that individual's name, title, address, city, state, zip code, email address, and telephone numbers. The form requires vendors to complete all sections regardless of whether they are the prime contractor or a subcontractor, as subcontractors must also submit completed forms with their respective information.

The form requires vendors to disclose their State of Nevada experience, including any prior work performed for state agencies, and to identify any current or former Nevada state employees working for the vendor who may be involved in contract performance. Critically, vendors must disclose any significant prior or ongoing contract failures, breaches, civil or criminal litigation, or pending claims occurring within the past six years that may adversely affect their ability to perform if awarded the contract. The form also requires authorization for payment via procurement card, identification of the individual authorized to bind the organization, and that individual's signature. All vendors seeking to perform work in Nevada must register as a foreign corporation with the Nevada Secretary of State's Office pursuant to Nevada Revised Statutes Section 80.010 and obtain appropriate Nevada business licensing under NRS 76 before contract execution.