Appendix D - Vendor Disclosure Statement.pdf
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- Solicitation number
- DQ1 GMAA 2027000105 3
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Vendor Disclosure Statement form for the State of Colorado related to a professional moving services contract opportunity (AHEC-27402-D) for Boulder Creek. The document serves as a required disclosure instrument for vendors bidding on state and local contracting opportunities, establishing a standardized format for vendor qualification and transparency purposes. The form functions as a preliminary vendor eligibility assessment tool, requiring bidders to provide verified information regarding their business status, ownership structure, and compliance with state regulatory requirements prior to contract award consideration.
The disclosure statement requires vendors to submit comprehensive information including business entity classification, ownership details, and attestations regarding regulatory compliance and past performance history. This form represents a mandatory submission component of the bid process, ensuring that all potential contractors meet baseline qualification standards and transparency requirements established by the State of Colorado for professional services procurement. Vendors must complete and certify all required disclosures accurately, as false or incomplete submissions may result in bid disqualification or contract termination.
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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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