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 3
Issued by
Ouray County, Colorado

About this file

This is a vendor response sheet for CNCC FY26-011 Non-Radiographic X-Ray Simulator, a state and local contract opportunity issued by the Colorado community college system. The document serves as the required submission form for vendors responding to this solicitation and must be completed and submitted with all bid proposals. The response sheet collects essential vendor information including company name, address, contact details, and federal identification number, along with documentation requirements such as a W-9 form and acknowledgment of the State of Colorado Purchase Order Terms and Conditions.

The response sheet requires vendors to provide certifications regarding their business classification status, including whether they qualify as small businesses, minority-owned businesses, women-owned businesses, or service-disabled veteran-owned businesses, along with corresponding ethnicity disclosures where applicable. Vendors must also indicate their membership status in relevant procurement systems such as the State of Colorado VSS system and BidNet Direct, confirm the percentage of labor to be provided from Colorado, and attest to their ability to meet all minimum contractor requirements. Failure to complete this response sheet or agree to the State of Colorado Purchase Order Terms and Conditions may result in a bid being deemed unresponsive. The form includes signature lines requiring authorization by an authorized representative with printed name, title, and date of execution.

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Other files

File Type Posted
Appendix B- CO PO Terms & Conditions Sample.pdf PDF
CNCC FY26-011-Non-Radiographic X-Ray - DQ Request.pdf PDF
Current XRay Sim-2of4.jpg JPG image
Current XRay Sim-3of4.jpg JPG image
Current XRay Sim-4of4.jpg JPG image
Current Xray Sim-1of4.jpg JPG image
Addendum 1- CNCC FY26-011 Q&A-combined.pdf PDF

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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 .