Appendix F- CNCC Response Sheet.pdf

PDF 259 KB Posted

Attached to
EM2624 Yaeger Structural Stabilization and Repairs
Solicitation number
IFB1 GJTA 2027000021 2
Issued by
Pueblo County, Colorado

About this file

This is a vendor response sheet for Colorado Northern Community College (CNCC) solicitation FY27-002 related to the EM2624 Yaeger Structural Stabilization and Repairs project in Colorado. The response sheet serves as a certification document that vendors must complete and submit with their bid proposal to confirm their ability to meet all minimum contractor requirements. Vendors are required to provide company information including name, address, phone number, and email contact details, along with their Federal Identification Number. The form requests verification of vendor status across multiple systems, including membership in the State of Colorado VSS system and BidNet Direct, as well as current standing with the Colorado Secretary of State.

The response sheet requires vendors to certify their compliance with State of Colorado Purchase Order Terms and Conditions, with non-compliance potentially resulting in bid rejection. Vendors must disclose minority and women-owned business status with ethnicity information if applicable, confirm service-disabled veteran ownership status if relevant, and indicate whether at least 45 percent of labor will be provided from Colorado. The form explicitly requires vendors to include a completed W-9 with their submission and requests signed certification from an authorized representative with printed name, title, and date. Small business status and qualifications under federal government definitions must also be disclosed on the response sheet.

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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 FY27-002

**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 .