Attachment 1 Vendor Information-Confirmation of Offer Form.docx
DOCX document 141 KB Posted
- Attached to
- Medication Management and Disposal
- Solicitation number
- RFP FAAA 2026000169 2
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Vendor Information and Confirmation of Offer Form for Colorado's Medication Management and Disposal solicitation (RFP 2026000169). The form serves as the required submission document for vendors responding to this state contract opportunity. Vendors must complete all required fields including their Colorado Vendor Self-Service (VSS) Customer Number, Federal Employer's Identification Number (FEIN), Unique Entity Identifier (UEI#), legal business name, Doing Business As (DBA) name if applicable, full business address, and authorized signatory information. The form also requires vendors to designate a point of contact for solicitation-related communications, including their name, title, phone number, and email address. Submission of a signed original of this form is mandatory and must accompany the original solicitation response.
The form emphasizes that all responses are subject to conditions and specifications outlined in the solicitation document. Vendors are instructed to verify the accuracy of their Vendor Customer Number and FEIN, as these identifiers will be used for award issuance, contracting, and payment processing. The authorized signatory's signature on this form signifies their review and approval of the complete solicitation response. Vendors are urged to thoroughly review the entire solicitation document before submitting their response.
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Text version
Attachment 1
SOLICITATION NO: RFP 2026000169
TITLE: Medication Management and Disposal
Vendor Information & Confirmation of Offer Form
Responses submitted are subject to the conditions stipulated in the solicitation and the specifications set forth in the solicitation.
PLEASE TYPE OR PRINT INFORMATION
VENDOR CUSTOMER # (From Colorado VSS): ___________________________________________________________________
FEDERAL EMPLOYER’S IDENTIFICATION (FEIN) #: _______________________________________________________________
Unique Entity Identifier (UEI#) (if applicable): __________________________
LEGAL NAME of OFFEROR: __________________________________________________________________________________
DBA (if applicable):_______________________________________________________________________________________
ADDRESS: ______________________________________________________________________________________________
CITY, STATE, ZIP: _______________________________________________________________________________________
NAME OF AUTHORIZED SIGNATORY: ________________________________________________________________________
TITLE OF AUTHORIZED SIGNATORY: ________________________________________________________________________
E-MAIL ADDRESS: ______________________________________________________________________________________
PHONE #: __________________________________________
The signature below signifies my review and approval of this solicitation response.
___________________________________________________________________ DATE: ___________________________ Original (in ink) or Digital Signature of Authorized Signatory
POINT OF CONTACT FOR SOLICITATION-RELATED COMMUNICATIONS:
NAME______________________________________________ PHONE #: ______________________________________
TITLE: _____________________________________________
E-MAIL: _____________________________________________________________________________________________
Offerors are urged to read the solicitation document thoroughly before submitting a response. The Vendor Customer Number and F.E.I.N. referenced above will be used for issuance of award, contracting, and payment for the winning response. Verify that the provided numbers are correct for the entity submitting this response.
SUBMIT SIGNED ORIGINAL OF THIS FORM WITH ORIGINAL SOLICITATION RESPONSE
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File details come from the government source that posted it. Updated .