Attachment 3 - Signature & Attestation Page.doc
DOC document 60 KB Posted
- Solicitation number
- DQ1 EDAA 2027000172 1
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a signature and attestation page form issued by the Colorado Office of Economic Development and International Trade (OEDIT) for a Documented Quote (DQ1) submission related to the Cannabis Business Advanced Mentorship Program 2027. The form requires bidders to provide company identification information including tax identification number (FEIN), Unique Entity Identifier (UEI) from Sam.gov, company name, contact name and details, and company address. Bidders must acknowledge receipt of all modifications to the solicitation as published on Colorado Vendor Self-Service (VSS), with the number of modifications to be listed on the form. The submission must include a signature from a person legally authorized to sign on behalf of the company using an acceptable electronic signature, along with the typed or printed name, title, and date of the authorized signatory.
The form requires bidders to disclose any organizational or other conflicts of interest regarding the solicitation, their application, staff, proposed subcontractors, related business with the State of Colorado, or relationships with OEDIT employees, with the OEDIT Purchasing and Contracts Office reserving the right to make a non-responsive determination or cancel an award if conflicts are identified or appear to exist. Additionally, bidders must confirm whether their company is registered with the Colorado Secretary of State, and if so, must submit a Certificate of Good Standing with their bid. For vendors owned or controlled by a parent company, the parent company's name, main office address, and tax identification number must be provided on a copy of this form, as the parent company will be legally responsible for contract performance.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| DQ EDAA 2027-0172 - Cannabis Business Advanced Mentorship Program 2027 - Published.docx | DOCX document | |
| Exhibit B - Insurance Information for Vendors.docx | DOCX document | |
| Attachment 1 - Bidder Response Form.doc | DOC document | |
| Attachment 5 - W-9.pdf | ||
| Attachment 4 - DQ Affirmation Page.doc | DOC document | |
| Attachment 2 - DQ Price Sheet.doc | DOC document | |
| Attachment 6 - Vendor Performance Disclosure Form.doc | DOC document |
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Text version
Colorado Office of Economic Development and International Trade
ATTACHMENT 3 - Signature and Attestation Page
Documented Quote (DQ1) #: EDAA [__]
Please print or type information in all fields below, marked with underscores and/or brackets as placeholders. If not applicable to your organization, please insert “N/A”. For Yes/No question, please respond by marking with an “X”.
Company’s Tax ID Number (FEIN)*: __ Company’s UEI Number (Sam.gov): __
Company Name: __ Contact Name: __ Company Address: __ Contact’s Telephone: __ Contact’s E-mail: __ Should the solicitation be modified, Company shall indicate review of all Modifications of EDAA DQ # as published on Colorado Vendor Self-Service (VSS).
Our company acknowledges receipt of EDAA [__] modifications. List the number of modifications: [__]
Signature of person legally authorized to sign on behalf of the Company – MUST BE SIGNED WITH AN ACCEPTABLE ELECTRONIC SIGNATURE
Date
Typed or printed name of person legally authorized to sign for the Company
Title of person legally authorized to sign for the Company
*PARENT COMPANY. A vendor, owned or controlled by a parent company, must provide the name, main office address and parent company’s tax identification number on a copy of this form. The tax identification number provided must be that of the vendor’s parent company who will be legally responsible for performing services under any Contract resulting from this solicitation.
Conflict of Interest Section
Bidders must state whether there currently are, or potentially could be, organizational or other conflicts of interest regarding this solicitation and/or their application, their staff or their proposed subcontractors, related business with the State of Colorado, or with OEDIT employees.
List any potential conflicts of interest: [__] The OEDIT Purchasing and Contracts Office reserves the right to make a non-responsive determination on a Bidder’s quote or cancel the award if there is a conflict, a perceived conflict, or if a conflict or appearance is disclosed from any other source.
Is your company registered with the Colorado Secretary of State? [__] Yes
[__] No If you answered yes, please submit a copy of Certificate of Good Standing with bid.
MUST BE SUBMITTED WITH BID
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
�Drafter: Update w/ your DQ #.
�Drafter: This can be deleted if the source of funds is not federal.
�Drafter: Update w/ your DQ #.
�Drafter: Update w/ your DQ #.
Attachment 3
File details come from the government source that posted it. Updated .