Appendix D Vendor Disclosure Statement.pdf

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Attached to
Building Performance CO Database Management Administration
Solicitation number
RFP EFAA 2027000067 4
Issued by
Denver County, Denver City, Colorado

About this file

This is a Vendor Disclosure Statement form for the Building Performance CO Database Management Administration contract opportunity with the State of Colorado. The document serves as a disclosure vehicle for vendors to provide information about their business entity, ownership structure, and any relevant details required by the state for contract consideration. The form requests standard vendor identification information, including company name, address, federal employer identification number, and details regarding ownership and management. Vendors are required to complete and submit this disclosure statement as part of their bid or proposal package, though specific response dates, due dates, site visits, bidder meetings, award dates, and contract term details are not detailed within the vendor disclosure form itself.

Pricing terms, set-asides, incumbent information, funding sources, and other contractual financial provisions are not specified within this vendor disclosure document. The form functions primarily as an administrative and transparency tool to ensure vendors meet disclosure requirements and provide background information necessary for the state's evaluation and award process. Additional contract specifications, including pricing structures, minority or women-owned business set-asides, and financial terms, would be contained in separate solicitation documents accompanying this disclosure statement.

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Text version

July 19, 2024

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

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