Attachment 2 - Vendor Disclosure Stmt.pdf

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Attached to
Print Shop Paper
Solicitation number
IFB 2024000097
Issued by
Denver County, Denver City, Colorado

About this file

The document is a Vendor Disclosure Statement (Attachment 2) for the Colorado Department of Corrections (CDOC), specifically for Solicitation Number IFB #2024000097. This form is required by Colorado Revised Statutes §24-102-206 and must be completed by prospective vendors prior to contracting or during the solicitation process. The form is designed to disclose information about where services under the contract, including any subcontracts, will be performed, with particular emphasis on services conducted outside of the United States or Colorado.

The disclosure statement is not required for certain types of contracts, including those under Medicare, Colorado Medical Assistance Act, Children Basic Health Plant Act, Colorado Indigent Care Program, or construction contracts. Vendors must provide details about the geographical locations where services will be performed and explain why it might be necessary or advantageous to perform services outside of the United States or Colorado. The form requires the vendor's signature, printed name, and title, serving as a formal declaration of the contract's performance location and potential international or out-of-state service provisions.

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Text version

Attachment 2 State of Colorado – Contract Management Information

Vendor Disclosure Statement Colorado Revised Statues §24-102-206

Contract Performance Outside of the United States or Colorado

Prior to contracting, or as a requirement for the solicitation of any contract for services from the State of Colorado, a prospective vendor is required to disclose the following information in a statement of work.

Completing this Form

• To the extent the following information has not previously been disclosed in a statement of work, a prospective vendor shall complete this Vendor Disclosure Statement and return it to the contracting state agency or institution of higher education (IHE).

• This Disclosure Statement is not required for contracts under Medicare, the “Colorado Medical Assistance Act”, Articles 4 to 6 of Title 25.5 C.R.S., the “Children Basic Health Plant Act”, Article 8 of Title 25.5, C.R.S, or the “Colorado Indigent Care Program”, Part I of Article 3 of Title 25.5 C.R.S.

• This Disclosure Statement is not required for Construction contract.

1. Solicitation Number: IFB #2024000097 State Agency Name: Colorado Department of Corrections

Vendor Name: _________________________________________________________________________

2. Where will the services under the contract, including any subcontracts, be performed?

List all county(ies) and state(s).

3. If it is anticipated that services under the contract or any subcontracts will be performed outside of the United States or the State of Colorado, explain why it is necessary or advantageous to go outside the Untied Stated or the State of Colorado to perform the contract or any subcontracts.

Signature Date

Printed Name Title

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