Appendix D Vendor Disclosure Statement.pdf

PDF 115 KB Posted

Attached to
CPRG Accelerator Research and Best Practices
Solicitation number
RFP EFAA 2027000006 2
Issued by
Denver County, Denver City, Colorado

About this file

This is a Vendor Disclosure Statement form required by Colorado Revised Statute 24-102-206 for the CPRG Accelerator Research and Best Practices contract opportunity with the State of Colorado. The form applies to all state contracts and solicitations for services executed after August 3, 2007, and must be completed by vendors if contract performance or subcontract work is anticipated outside the United States or Colorado. The disclosure statement requires vendors to identify the specific countries and states where services will be performed, provide justification for performing work outside U.S. or Colorado borders, and submit the contract routing number along with vendor name information.

The form is not required for contracts under Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, or the Colorado Indigent Care Program. Vendors must return the completed disclosure statement to the contracting agency to the extent this information has not already been provided in the Statement of Work or other contract documents.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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

File details come from the government source that posted it. Updated .