70CNR-S3892 Vendor-Information-Response.pdf
PDF 97 KB Posted
- Attached to
- Uniform Provider for State Parks
- Solicitation number
- 70CNR-S3892
- Issued by
- Nevada
About this file
This is a Vendor Information Response form issued by the Nevada Division of State Purchasing on behalf of the Department of Conservation and Natural Resources (DCNR)/State Parks for a uniform provider contract opportunity (70CNR-S3892). The form requires vendors to submit comprehensive company information including contact details, company profile, licensing status, and experience with State of Nevada agencies. Vendors must disclose any current or former State of Nevada employees who will perform work under the contract, as well as any significant prior or ongoing contractual issues, breaches, or litigation involving the State of Nevada or other entities within the past six years. The form also requires identification of the individual authorized to bind the organization and approval for use of procurement cards for payment authorization.
All vendors responding to this solicitation must register as a foreign corporation with the Nevada Secretary of State's Office if organized under another state's laws and obtain appropriate Nevada business licensing pursuant to NRS 76 and NRS 80.010 before contract execution. Subcontractors must complete the same vendor information response form as prime contractors. The document emphasizes compliance with state licensing requirements and full disclosure of any contractual or legal issues that could affect the vendor's ability to perform obligations under the awarded contract.
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Other files
| File | Type | Posted |
|---|---|---|
| 70CNR-S3892 Attachment A Park Uniform Pictures and Patch Listing_FINAL.docx | DOCX document | |
| 70CNR-S3892 Cost Proposal for Uniform Provider for State Parks.xlsx | XLSX spreadsheet | |
| Quote Instructions.pdf | ||
| 70CNR-S3892 Standard-form-contract.docx | DOCX document | |
| 70CNR-S3892 Bid_Q and A Responses 081726.xlsx | XLSX spreadsheet | |
| 70CNR-S3892 Insuranace Template.docx | DOCX document | |
| 70CNR-S3892 Attachment B State Park Listing_FINAL.docx | DOCX document | |
| 70CNR-S3892 Terms-and-Conditions-for-Services.pdf | ||
| 70CNR-S3892 Terms-and-conditions-for-goods.pdf | ||
| 70CNR-S3892 Reference-Questionnaire~1.docx | DOCX document | |
| 70CNR-S3892 Certification-Regarding-Lobbying.pdf | ||
| 70CNR-S3892 RFP for Uniform Provider for State Parks~6.docx | DOCX document |
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Text version
VENDOR INFORMATION RESPONSE
Revised: April 2021 Page 1 of 1
Vendors shall complete and return this form in their proposal.
If the proposal includes subcontractors, form must be completed for each subcontractor as well.
1. VENDOR CONTACT INFORMATION
COMPANY NAME AND CONTACT INFORMATION:
The information provided in the table below shall be used for development of the contract, if awarded.
Requested Information Response
Company Name:
Company Street Address:
City, State, Zip Code:
Telephone Number, including area code:
Toll Free Number, including area code:
Email Address:
CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS
Requested Information Response
Name:
Title:
Address:
City, State, Zip Code:
Email Address:
Telephone Number, including area code:
Toll Free Number, including area code:
| Confidentiality and Certification of Indemnification |
| Certification Regarding Lobbying |
| Vendor Information Response |
| 1. VENDOR CONTACT INFORMATION |
| 1.1 COMPANY NAME AND CONTACT INFORMATION: |
| 1.2 CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS |
| 2. VENDOR INFORMATION |
| 2.1 Vendors shall provide an overall company profile in the following table: |
| 2.2 VENDOR LICENSING |
| 2.2.1 Please be advised: Pursuant to NRS 80.010, a corporation organized pursuant to the laws of another state shall register with the State of Nevada, Secretary of State’s Office as a foreign corporation before a contract can be executed between the ... |
| 2.2.2 The selected vendor, prior to doing business in the State of Nevada, shall be appropriately licensed by the State of Nevada, Secretary of State’s Office pursuant to NRS 76. Information regarding the Nevada Business License can be located at htt... |
| 2.3 STATE OF NEVADA EXPERIENCE |
| 2.3.1 If ‘Yes’, complete the following table for each State agency for whom the work was performed. |
| 2.3.2 Table can be duplicated for each contract being identified. |
| 2.4 CURRENT OR FORMER EMPLOYEE |
| 2.4.1 If you employ (a) any person who is a current employee of an agency of the State of Nevada, or (b) any person who has been an employee of an agency of the State of Nevada within the past two (2) years, and if such person shall be performing or p... |
| 2.5 PRIOR OR ONGOING CONTRACTUAL ISSUES |
| 2.5.1 Disclosure of any significant prior or ongoing contract failures, contract breaches, civil or criminal litigation in which the vendor has been alleged to be liable or held liable in a matter involving a contract with the State of Nevada or any o... |
| 2.5.2 Any pending claim or litigation occurring within the past six (6) years which may adversely affect the vendor’s ability to perform or fulfill its obligations if a contract is awarded as a result of this RFP shall also be disclosed. |
| 2.5.3 If ‘Yes’, please provide the information in the table below. |
| 2.5.4 Table can be duplicated for each issue being identified. |
| 3. PAYMENT AUTHORIZATION FOR USE OF PROCUREMENT CARD |
| 4. NAME OF INDIVIDUAL AUTHORIZED TO BIND THE ORGANIZATION |
| 4.1 SIGNATURE OF INDIVIDUAL AUTHORIZED TO BIND THE VENDOR |
| Company Name: |
| Company Email Address: |
| Contact Person Name: |
| Contact Person Title: |
| Contact Person Address: |
| Contact Person City, State, Zip Code: |
| Contact Person Email: |
| Contact Person Telephone: |
| Contact Person Toll Free (if applicable): |
| Company Address: |
| Company City State Zip Code: |
| Company Telephone: |
| Company Toll Free: |
File details come from the government source that posted it. Updated .