Attachment 2 - Vendor Disclosure Stmt.pdf
PDF 183 KB Posted
- Attached to
- Roll Stock Paper - CCi Print Shop
- Solicitation number
- 2024000328
- Issued by
- Denver County, Denver City, Colorado
About this file
This document is a Vendor Disclosure Statement for the Colorado Department of Corrections (CDOC) related to a solicitation number DQ# 2024000328. The form is designed to collect information about contract performance locations and potential work performed outside of the United States or Colorado, as required by Colorado Revised Statutes §24-102-206. The disclosure statement is mandatory for most state service contracts, with specific exemptions including Medicare, medical assistance, children's health plans, and construction contracts.
The form requires vendors to disclose the counties and states where contract services will be performed, and if services are anticipated to be performed outside of the United States or Colorado, the vendor must explain why such external performance is necessary or advantageous. The document is part of the state's procurement process and must be completed prior to contracting or as part of the solicitation process for state services. The form includes spaces for the vendor's signature, printed name, and title, and is specifically associated with the Colorado Department of Corrections' solicitation for roll stock paper for the CCi Print Shop.
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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: DQ# 2024000328
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 .