Attachment 1 Vendor Information-Confirmation of Offer Form.docx

DOCX document 143 KB Posted

Attached to
Chemistry Instrument Service Plan
Solicitation number
DQ1 FAAA 2026000445 2
Issued by
Denver County, Denver City, Colorado

About this file

This is a Vendor Information and Confirmation of Offer Form for solicitation DQ1 2026000445 issued by the State of Colorado for a Chemistry Instrument Service Plan. The form serves as the official submission document for vendors responding to this procurement opportunity. Vendors are required to complete and submit this form as part of their original solicitation response, providing essential company and authorized representative information that will be used for award determination, contracting, and payment processing.

The form requires vendors to supply standard business identification information including Vendor Customer Number, Federal Employer Identification Number (FEIN), Unique Entity Identifier (UEI), legal business name, doing-business-as (DBA) name if applicable, complete business address, and authorized signatory details. Vendors must designate both an authorized signatory to approve the response submission and a primary point of contact for solicitation-related communications, including name, title, phone number, and email address. The form emphasizes the importance of vendor verification of provided identification numbers prior to submission and requires an original signature in ink or digital signature from the authorized representative, with explicit instruction that vendors thoroughly review the complete solicitation document before responding.

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Text version

Attachment 1

SOLICITATION NO: DQ1 2026000445

TITLE: Chemistry Instrument Service Plan

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 .