81DMV-S3985-Vendor-Information-Response.pdf

PDF 97 KB Posted

Attached to
Vehicle Remote Sensing
Solicitation number
81DMV-S3985
Issued by
Clark County, Nevada

About this file

This is a Vendor Information Response form issued by the Nevada Department of Motor Vehicles for the Vehicle Remote Sensing contract opportunity. The document serves as a standardized template that vendors must complete and submit as part of their proposal to the state. All subcontractors involved in a proposal must also complete the form for each entity. The document requires vendors to provide comprehensive company contact information, including the 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 mandates that vendors disclose critical business information including overall company profile, current licensing status with the Nevada Secretary of State's Office, and any prior experience with State of Nevada agencies. Vendors must reveal any current or former Nevada state employees on their payroll, particularly those hired within the past two years who may be assigned to perform work under the contract. Additionally, vendors are required to disclose significant prior or ongoing contractual failures, breaches, civil or criminal litigation involving State of Nevada contracts, and any pending claims or litigation from the past six years that could adversely affect contract performance. The form also includes sections for payment authorization using procurement cards and requires the signature of an individual authorized to bind the organization, establishing clear accountability and legal commitment from the vendor.

View the file

Other files

File Type Posted
Certification-regarding-lobbying~3.pdf PDF
Quote Instructions.pdf PDF
81DMV-S3985 - Cost Schedule.xls XLS spreadsheet
81DMV-S3985-Request-for-Proposals.docx DOCX document
Standard Form Contract - DMV Language~2.docx DOCX document
Insurance Schedule - RFP 81DMV-S3985 - RFP.docx DOCX document
Terms-and-conditions-for-services~3.pdf PDF
81DMV-S3985-Reference-Questionnaire.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 .