Appendix E- CNCC Response Sheet.pdf

PDF 259 KB Posted

Attached to
CNCC FY27-003 Holland West Remodel
Solicitation number
RFQ1 GJTA 2027000008 3
Issued by
Pueblo County, Colorado

About this file

This is a vendor response sheet for CNCC FY27-003 Holland West Remodel, a Colorado state and local contract opportunity. The response sheet serves as the required submittal document for vendors bidding on this construction/remodel project. Vendors must complete all sections of the form, including company information, contact details, and certification statements regarding their ability to meet minimum contractor requirements. The document requires vendors to acknowledge and accept the State of Colorado Purchase Order Terms and Conditions, with failure to do so potentially resulting in the bid being deemed unresponsive.

The response sheet requires vendors to disclose pertinent business classification information, including whether labor is sourced from Colorado, and certifications as a small business, minority-owned business, woman-owned business, or service-disabled veteran-owned business (SDVOSB). Vendors must also provide their Federal Identification Number, confirm their status with the Colorado Secretary of State, and indicate membership in the State of Colorado VSS system or BidNet Direct, along with relevant account numbers. All submissions must include a completed W-9 form with the response sheet and be signed by an authorized company representative with printed name and title.

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Text version

Vendor:

Vendor Address:

Vendor Phone:

Vendor E-Mail:

Percentage of Labor from Colorado (Services):

Yes No

A Small Business:

A Minority Business: If yes, state ethnicity:

A Woman Owned Business:

A Service-Disabled Veteran Owned Business

(SDVOSB):

If yes, state ethnicity:

Status with Colorado Secretary of State:

Yes No

Accept 45 Day Terms:

A member of the State of ColoradoVSS system:

VSS #:

A member of BidNet Direct: BidNet #:

Federal Identification #:

Reviewed and Accept State of Colorado Purchase Order Terms and Conditions:

Signature:

Printed Name & Title:

Date:

Using Federal Government definition, does your firm qualify as:

RESPONSE SHEET

Solicitation: CNCC FY27-003

**This sheet must be completed and turned in with bid submittal.**

By signing below, the vendor certifies its ability to meet all minimum contractor requirements.

If no, provide a proposed amendment.

Note: If the Respondent cannot agree to the State of Colorado Purchase Order Terms and Conditions it may result in being deemed an unresponsive bidder.

Continued response questionnaire:

Please include a copy of W-9 with Response Sheet.

Sheet1

Vendor:
Vendor Address:
Vendor Phone:
Vendor EMail:
Services:
ethnicity:
ethnicity_2:
Status with Colorado Secretary of State:
1:
2:
Printed Name Title:
Date:
Check Box2: Off
Check Box1: Off
Check Box3: Off
Check Box5: Off
Check Box4: Off
Check Box6: Off
Check Box8: Off
Check Box7: Off
Check Box10: Off
Check Box12: Off
Check Box11: Off
Check Box14: Off
Check Box13: Off
Check Box9: Off
Check Box16: Off
Check Box15: Off
Check Box18: Off
Check Box17: Off

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