Appendix D - Vendor Disclosure Statement.pdf
PDF 162 KB Posted
- Solicitation number
- DQ1 GMAA 2027000105 2
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Vendor Disclosure Statement form required by the State of Colorado under Colorado Revised Statute 24-102-206 for the AHEC-27402-D Professional Moving Services for Boulder Creek contract opportunity. The form applies to all state contracts and solicitations for services executed after August 3, 2007, and must be completed by vendors to the extent that performance information outside the United States or Colorado has not been disclosed in the Statement of Work. The disclosure statement requires vendors to indicate whether any services under the contract or subcontracts will be performed outside the United States or Colorado, and if so, to specify the location(s), explain the necessity or advantage of performing work outside these boundaries, and provide the contract routing number.
The form is not required for contracts to which the State is a party under Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, or the Colorado Indigent Care Program. Vendors must provide their name and complete all applicable sections of the disclosure statement prior to contract execution.
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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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