70CNR-S4044 Vendor-Information-Response.pdf

PDF 97 KB Posted

Attached to
NDSP Wifi Services
Solicitation number
70CNR-S4044
Issued by
Nevada

About this file

This is a Vendor Information Response form used by the State of Nevada for state and local contract opportunities, specifically for the NDSP Wi-Fi Services project. The form requires vendors to provide comprehensive company information including official company name, street address, phone numbers, and email contact details that will be used for contract development if the proposal is awarded. Vendors must designate a primary contact person for questions and contract negotiations, including their title, address, and direct contact information. The form applies to all prime contractors and any subcontractors included in a proposal submission.

The form mandates that vendors disclose their company profile, licensing status, and prior experience with State of Nevada agencies. Vendors must comply with Nevada Revised Statutes (NRS) requirements, including foreign corporation registration with the Secretary of State's Office and appropriate state business licensing pursuant to NRS 76. Vendors are required to disclose any current or former Nevada state employees who will perform work on the contract, as well as any significant prior or ongoing contractual failures, breaches, litigation, or pending claims occurring within the past six years that could adversely affect performance. The form requires authorization information for payment via procurement card and identification of the individual authorized to bind the organization with their signature, company email, and contact details. Vendors must certify compliance with lobbying and indemnification requirements as part of their submission.

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Other files

File Type Posted
Quote Instructions.pdf PDF
70CNR-S4044 Reference-Questionnaire.docx DOCX document
70CNR-S4044 Insurance Requirements.docx DOCX document
70CNR-S4044 RFP for NDSP Wifi Services.docx DOCX document
70CNR-S4044 Terms-and-conditions-for-goods.docx DOCX document
70CNR-S4044 Certification-regarding-lobbying.pdf PDF
70CNR-S4044 Standard-form-contract.docx DOCX document
70CNR-S4044 Terms-and-conditions-for-services.docx DOCX document
70CNR-S4044 Cost Schedule -WIFI.xlsx XLSX spreadsheet

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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 .