Appendix C - CNCC Response Sheet.pdf

PDF 233 KB Posted

Attached to
CNCC FY26-011 Non-Radiographic X-Ray Simulator
Solicitation number
DQ1 GJTA 2026000410 2
Issued by
Ouray County, Colorado

About this file

This is a vendor response sheet for a Colorado state procurement solicitation, CNCC FY26-011, relating to a Non-Radiographic X-Ray Simulator for the Colorado community college system. The form serves as a mandatory submission document that requires vendors to complete all sections and certify their ability to meet minimum contractor requirements. Vendors must provide company information including name, address, phone, and email; indicate whether labor will be sourced from Colorado; disclose their business classification status regarding small business, minority-owned business, woman-owned business, and service-disabled veteran-owned business designations; confirm their registration status with the Colorado Secretary of State; acknowledge membership in the State of Colorado Vendor Self-Service (VSS) system and BidNet Direct if applicable; and provide their Federal Identification Number. The response sheet explicitly requires vendors to review and accept the State of Colorado Purchase Order Terms and Conditions, with notation that failure to do so may result in a bid being deemed unresponsive.

The form requires vendors to submit a completed W-9 form with the response sheet and indicates that vendors must accept 45-day payment terms as a condition of bidding. The document specifies that all checkbox items must be addressed in the submission, though the specific procurement details such as pricing, delivery requirements, and technical specifications are not detailed within this response sheet itself. The form serves as a compliance and qualification document designed to establish vendor eligibility and commitment to state contracting requirements before the technical evaluation of bids occurs.

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Text version

Vendor:

Vendor Address:

Vendor Phone:

Vendor E-Mail:

Percentage of Labor from Colorado (Services):

Yes No

A Small Business:

A Minority Business: If yes, state ethnicity:

A Woman Owned Business:

A Service-Disabled Veteran Owned Business

(SDVOSB):

If yes, state ethnicity:

Status with Colorado Secretary of State:

Yes No

Accept 45 Day Terms:

A member of the State of ColoradoVSS system:

VSS #:

A member of BidNet Direct: BidNet #:

Federal Identification #:

Reviewed and Accept State of Colorado Purchase Order Terms and Conditions:

Signature:

Printed Name & Title:

Date:

Using Federal Government definition, does your firm qualify as:

RESPONSE SHEET

Solicitation: CNCC FY26-011

**This sheet must be completed and turned in with bid submittal.**

By signing below, the vendor certifies its ability to meet all minimum contractor requirements.

If no, provide a proposed amendment.

Note: If the Respondent cannot agree to the State of Colorado Purchase Order Terms and Conditions it may result in being deemed an unresponsive bidder.

Continued response questionnaire:

Please include a copy of W-9 with Response Sheet.

Sheet1

Vendor:
Vendor Address:
Vendor Phone:
Vendor EMail:
Services:
ethnicity:
ethnicity_2:
Status with Colorado Secretary of State:
1:
2:
Printed Name Title:
Date:
Check Box2: Off
Check Box1: Off
Check Box3: Off
Check Box5: Off
Check Box4: Off
Check Box6: Off
Check Box8: Off
Check Box7: Off
Check Box10: Off
Check Box12: Off
Check Box11: Off
Check Box14: Off
Check Box13: Off
Check Box9: Off
Check Box16: Off
Check Box15: Off
Check Box18: Off
Check Box17: Off

File details come from the government source that posted it. Updated .