81DMV-S3937-Vendor-Information-Response.pdf

PDF 97 KB Posted

Attached to
Independent Verification and Validation (IV&V) Services for DMV Transformation Effort (DTE)
Solicitation number
81DMV-S3937
Issued by
Nevada

About this file

This is a Vendor Information Response form used by the Nevada Department of Motor Vehicles for the Independent Verification and Validation (IV&V) Services for DMV Transformation Effort (DTE) contract opportunity. The form serves as a standard template that vendors must complete and submit with their proposals to provide essential company and contact information. Vendors are required to supply company name, street address, city, state, zip code, telephone number, toll-free number, and email address. Additionally, vendors must identify a primary contact person for questions and contract negotiations, including that individual's name, title, address, city, state, zip code, email address, and telephone numbers. If a proposal includes subcontractors, the form must be completed for each subcontractor as well.

The form requires vendors to provide an overall company profile and disclose their licensing status in accordance with Nevada Revised Statutes (NRS 80.010 and NRS 76), including registration with the Nevada Secretary of State's Office as a foreign corporation if organized outside Nevada and acquisition of appropriate state business licenses prior to contract execution. Vendors must disclose any prior experience with State of Nevada agencies, identify any current or former State of Nevada employees who will perform work under the contract, and fully disclose any significant prior or ongoing contractual failures, contract breaches, civil or criminal litigation, or pending claims occurring within the past six years that may adversely affect their ability to perform. The form also requires authorization for payment via procurement card and identification of the individual authorized to bind the organization, with signature required from that authorized representative.

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Other files

File Type Posted
81DMV-S3937 - SOW - IV-V.docx DOCX document
RFP 81DMV-S3937 LIST OF EVALUATORS AND CRITERIA.doc DOC document
81DMV-S3937 - Cost Schedule.xls XLS spreadsheet
81DMV-S3937 - Attachment_B C_Vendor_Response_Workbook.xlsx XLSX spreadsheet
Standard Form Contract - DMV Language~1.docx DOCX document
81DMV-S3937 - Insurance Schedule - RFP.docx DOCX document
81DMV-S3937-Reference-Questionnaire.docx DOCX document
81DMV-S3937-Request-for-Proposals.docx DOCX document
Certification-regarding-lobbying~2.pdf PDF
Quote Instructions.pdf PDF
Terms-and-conditions-for-services~2.pdf PDF
Show all 11

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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 .