Appendix D Vendor Disclosure Statement.pdf

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Attached to
CPRG Accelerator Research and Best Practices
Solicitation number
RFP EFAA 2027000006 4
Issued by
Denver County, Denver City, Colorado

About this file

This is a Vendor Disclosure Statement form issued by the State of Colorado on July 19, 2024, pursuant to Colorado Revised Statute 24-102-206, applicable to the CPRG Accelerator Research and Best Practices contract opportunity. The form requires vendors to disclose whether any services under the contract or related subcontracts will be performed outside the United States or the State of Colorado. Vendors must complete the disclosure form and return it to the contracting agency if services are anticipated to be performed outside these jurisdictions. The form requests identification of the specific countries and/or states where work will be performed and requires vendors to explain the necessity or advantage of performing services outside the United States or Colorado. Additionally, vendors must provide their contract routing number and vendor name with the submission.

The disclosure statement exempts certain contract categories from this requirement, including Medicare contracts, agreements under 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), and the Colorado Indigent Care Program (Part I of Article 4 of Title 25.5 CRS). This form applies to all state contracts and solicitations for services executed after August 3, 2007, and serves as a compliance mechanism to ensure transparency regarding out-of-state or out-of-country work performance for Colorado state contracts.

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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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