Appendix D Vendor Disclosure Statement.pdf

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Attached to
Small & Medium Bldg. Energy Efficiency & Decarb Initiative
Solicitation number
RFP EFAA 2027000017 1
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 state contracts involving potential work performed outside the United States or Colorado. The form applies to all Colorado state contracts and solicitations for services executed after August 3, 2007, related to the Small & Medium Building Energy Efficiency & Decarbonization Initiative. The document requires vendors to disclose whether any services under the contract or subcontracts will be performed outside the United States or Colorado, and if so, to identify the specific countries and states where work will occur and provide justification for performing work outside Colorado or U.S. borders.

The form is mandatory for most state contracts unless the work falls under specific exemptions, including Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, or the Colorado Indigent Care Program. Vendors must complete and return this disclosure form to the contracting agency as part of the procurement process, providing the contract routing number and vendor name for identification and tracking purposes.

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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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