Attachment 2 - Vendor Disclosure Stmt.pdf
PDF 641 KB Posted
- Attached to
- Bulk Propane
- Solicitation number
- IFB 2023000238
- Issued by
- Garfield County, Colorado
About this file
This document is a Vendor Disclosure Statement for the State of Colorado, specifically for the Colorado Department of Corrections (CDOC) with solicitation number IFB #2023000238. The form is designed to gather information about contract performance locations and potential services performed outside of the United States or Colorado, as required by Colorado Revised Statutes §24-102-206. The disclosure is mandatory for prospective vendors prior to contracting or during the solicitation process, with specific exemptions for certain types of contracts such as Medicare, medical assistance, and construction contracts.
The form requires vendors to provide details about where contract services, including subcontracts, will be performed by listing all relevant counties and states. If services are anticipated to be performed outside the United States or Colorado, vendors must explain the necessity or advantages of doing so. The document is part of a transparent procurement process that seeks to ensure vendors disclose their operational locations and rationale for potential out-of-state or out-of-country service delivery. The form includes spaces for vendor name, signature, printed name, title, and date, facilitating comprehensive vendor information collection for the CDOC's contracting process.
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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:
State Agency Name:
IFB #2023000238
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 .