Attachment 1 Vendor Information-Confirmation of Offer Form UPDATED.docx
DOCX document 148 KB Posted
- Attached to
- STI/HIV/VH Home Test kits
- Solicitation number
- IFB1 FAAA 2027000007 2
- Issued by
- Arapahoe County, Denver City, Colorado
About this file
This is a Vendor Information and Confirmation of Offer Form for Solicitation No. IFB 2027000007 issued by the State of Colorado for the procurement of STI/HIV/VH home test kits. The form serves as the official submission document for vendors responding to this invitation for bid and requires offerors to provide comprehensive company information including their Colorado Vendor Customer Number, Federal Employer's Identification Number (FEIN), Unique Entity Identifier (UEI), legal business name, and Doing Business As (DBA) name if applicable. Vendors must designate an authorized signatory to approve the solicitation response and provide a point of contact for all solicitation-related communications, along with their contact information and email address. The form stipulates that all work is anticipated to be performed within the state of Colorado and requires vendors to verify the accuracy of their FEIN and Vendor Customer Number, as these identifiers will be used for award issuance, contracting, and payment processing.
Offerors must submit the signed original of this form with their original solicitation response, and the FEIN provided must match the vendor's VSS registration to be eligible for award consideration. The form emphasizes that all submitted responses are subject to the conditions and specifications outlined in the complete solicitation document, and vendors are strongly urged to review the entire solicitation thoroughly before submitting their response. No specific pricing information, set-asides, contract term details, or funding amounts are addressed within this particular form, as it functions solely as a standardized vendor information collection and authorization document.
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Text version
Attachment 1
SOLICITATION NO: IFB 2027000007
TITLE: Test Kits
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. The FEIN must match VSS registration to be eligible for award.
Vendor anticipates that all work be performed within the state of Colorado: ☐ Yes ☐ No
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 .