Appendix D - Vendor Disclosure Statement.pdf
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- Solicitation number
- DQ1 GMAA 2027000105 1
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Vendor Disclosure Statement form issued by the State of Colorado pursuant to Colorado Revised Statute 24-102-206, applicable to the AHEC-27402-D Professional Moving Services for Boulder Creek contract. The form requires vendors to disclose whether any services under the contract or related subcontracts will be performed outside the United States or Colorado. Vendors must complete the form if work is anticipated outside these geographic boundaries and return it to the contracting agency. The disclosure requirement applies to all state contracts and solicitations for services executed after August 3, 2007.
If work is to be performed outside the United States or Colorado, vendors must identify the specific country or state where services will be performed and provide justification for performing work outside these jurisdictions. The form notes exemptions for contracts involving Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, and the Colorado Indigent Care Program. Vendors must reference the contract routing number and provide their organization name when submitting the completed disclosure statement.
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Text version
August 11, 2026
VENDOR DISCLOSURE STATEMENT
Contract Performance Outside the United States or Colorado
Colorado Revised Statute 24-102-206
To the extent the vendor has not disclosed the following information in the Statement of Work, this form shall be completed and returned to the contracting agency. This applies to all state contracts and solicitation for services executed after August 3, 2007.
1. Are any services under the contract or any subcontracts anticipated to be performed outside the United States or Colorado?
Yes No
If “Yes”, please complete the following three questions:
2. Where will the services be performed under the contract, including any subcontracts?
(List country(ies) and/or state(s).
3. Explain why it is necessary or advantageous to go outside of the United States or the State of Colorado to perform the contract or any subcontracts.
4. Contract Routing Number:
Vendor Name:
Not required for contracts to which the State is a party under:
• Medicare
• The “Colorado Medical Assistance Act”, Articles 4 to 6 of Title 25.5 CRS
• The “Children/s Basic Health Plan Act”, Article 8 of Title 25.5, CRS
• The “Colorado Indigent Care Program”, Part I of Article 4 of Title 25.5, CRS
APPENDIX D
AP
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