Attachment 2 - Vendor Disclosure Stmt.pdf
PDF 128 KB Posted
- Attached to
- CCi Private Industries Program - BVCC
- Solicitation number
- RFP 2024000310
- Issued by
- Chaffee County, Colorado
About this file
This document is a Vendor Disclosure Statement from the State of Colorado, specifically for the Colorado Department of Corrections (CDOC) associated with Solicitation Number RFP# 2024000310. The form is a required disclosure document under Colorado Revised Statutes §24-102-206 that prospective vendors must complete prior to contracting, which requires vendors to provide details about where contract services will be performed.
The disclosure statement is designed to transparently document the location of contract services, including any subcontracted work, both within and outside of the United States and Colorado. The form exempts certain types of contracts from this disclosure requirement, including those related to Medicare, medical assistance, children's health plans, and construction contracts. Vendors are required to list all counties and states where services will be performed and, if services are anticipated to be performed outside of the United States or Colorado, explain the necessity or advantage of doing so. The document provides space for the vendor's signature, printed name, and title to formally attest to the accuracy of the disclosed information.
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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: RFP# 2024000310 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 .