Attachment 4 - Vendor Disclosure Statement.doc

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Attached to
Truck Toppers, Bed Slides and Running Boards
Solicitation number
DQ1 AADA 2015001378 1
Issued by
Denver County, Denver City, Colorado

About this file

This is a Vendor Disclosure Statement form required by the State of Colorado pursuant to Colorado Revised Statute 24-102-206, applicable to all state contracts and solicitations for services executed after August 3, 2007. The form mandates vendor disclosure of contract performance activities conducted outside the United States or Colorado. Vendors must indicate whether any services under the primary contract or any subcontracts will be performed outside these geographical boundaries and, if applicable, identify the specific countries and states where work will occur. The form requires vendors to explain the necessity or advantage of performing contract work outside the United States or Colorado, thereby establishing a clear record of the rationale for offshore or out-of-state service delivery prior to contract execution.

This disclosure requirement does not apply to contracts in which the State is party under Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, or the Colorado Indigent Care Program. The form functions as a compliance mechanism to ensure transparency regarding vendor performance locations and to provide contracting agencies with documented justification for any work performed beyond state and national boundaries. Completion and return of this form to the contracting agency is mandatory for all applicable contracts, establishing vendor accountability and enabling state oversight of contract performance geography.

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Text version

DQ1 AADA 20150001378

T Attachment 4

Vendor Disclosure Statement

Contract Performance Outside the United States or Colorado

Colorado Revised Statute 24-102-206

To the extent the vendor has not disclosed the following information in the Statement of Work, this form shall be completed and returned to the contracting agency. This applies to all state contracts and solicitation for services executed after August 3, 2007.

1.

Are any services under the contract or any subcontracts anticipated to be performed outside the United States or Colorado?

Yes

No

If “Yes”, please complete the following three questions:

2.

Where will the services be performed under the contract, including any subcontracts?

(List country(ies) and/or state(s).

3. Explain why it is necessary or advantageous to go outside of the United States or the State of Colorado to perform the contract or any subcontracts.

4. Contract Routing Number:

Vendor Name:

Not required for contracts to which the State is a party under:

· Medicare

· The “Colorado Medical Assistance Act”, Articles 4 to 6 of Title 25.5 CRS

· The “Children/s Basic Health Plan Act”, Article 8 of Title 25.5, CRS

· The “Colorado Indigent Care Program”, Part I of Article 4 of Title 25.5, CRS

This Page Must Be Completed and Returned.

File details come from the government source that posted it. Updated .