65DPS-S3798-Vendor-Information-Response.pdf

This is a Vendor Information Response form for the State of Nevada, Department of Public Safety (65DPS-S3798), revised in April 2021. The form serves as a standardized template that vendors must complete and submit as part of their proposal submissions. 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 specific contact person for questions and contract negotiations, including that individual's name, title, address, and contact information. The form applies to all primary vendors and any subcontractors involved in the proposal response.

The document establishes several mandatory disclosure and compliance requirements that vendors must address in their submissions. Vendors must confirm appropriate licensing and registration with the Nevada Secretary of State's Office, as required by NRS 80.010 for foreign corporations and NRS 76 for business licensing. Vendors with prior State of Nevada experience must document each relevant contract and associated agency. The form requires disclosure of any current or former State of Nevada employees performing work under the contract within the past two years. 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 affect their ability to perform contract obligations. The form also requires identification of the individual authorized to bind the organization and authorization for payment via procurement card if applicable.