70CNR-S3938 - Vendor Information Response.pdf

This is a Vendor Information Response form developed by the Nevada Department of Conservation and Natural Resources for a Circular Economy Study procurement. The form functions as a standardized submission document that vendors and any identified subcontractors must complete and include with their proposals. The form requires vendors to provide comprehensive company contact information, including company name, street address, city, state, zip code, telephone number, toll-free number, and email address, along with designated contact person details for questions and contract negotiations.

The form establishes vendor eligibility and disclosure requirements aligned with Nevada state regulations. Vendors must demonstrate appropriate licensing through the Nevada Secretary of State's Office pursuant to Nevada Revised Statutes (NRS 76 and NRS 80.010) prior to contract execution. The form requires vendors to disclose relevant experience with Nevada state agencies, identify any current or former State of Nevada employees who will perform work under the contract, and provide full disclosure of any significant prior or ongoing contract failures, breaches, civil or criminal litigation, or pending claims within the past six years that could adversely affect performance capability. Additionally, the form requires designation of an individual authorized to bind the organization and signature certification, along with authorization information for procurement card usage.