Attachment 4 - Vendor Disclosure Statement.doc

This is a Vendor Disclosure Statement form required by Colorado Revised Statute 24-102-206 for state contracts involving services performed outside the United States or Colorado. The form applies to the Colorado contract opportunity for the purchase and installation of 10 truck toppers for pickup trucks (Contract Routing Number DQ1-4100-2015000107). Vendors responding to this solicitation must disclose whether any services or subcontract work will be performed outside the United States or Colorado, and if so, must identify the specific countries and states where work will occur and provide justification for performing work outside U.S. or Colorado jurisdiction.

The form requires vendors to complete and return the disclosure statement to the contracting agency as a mandatory component of the contract submission. The disclosure requirement does not apply to certain state contracts under Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, or the Colorado Indigent Care Program. Vendors must provide the contract routing number and vendor name on the completed form. This disclosure mechanism ensures state oversight and transparency regarding any outsourced work components associated with the truck topper procurement and installation project.