BRDCOM-S3791-Vendor-Information-Response.pdf

This is a Vendor Information Response form used by the State of Nevada for state and local contract opportunities. The form requires vendors to provide comprehensive company contact information, including the company name, street address, city, state, zip code, telephone number, toll-free number, and email address. Vendors must also designate a primary contact person for questions and contract negotiations, including that individual's name, title, address, email, and telephone information. The form applies to all vendors submitting proposals and must be completed for any subcontractors included in the proposal as well.

The form requires vendors to disclose their company profile, Nevada business licensing status, and any prior experience with State of Nevada agencies. Vendors must comply with Nevada Revised Statutes 80.010 and 76 regarding foreign corporation registration and state business licensing requirements. Additionally, vendors must disclose any current or former State of Nevada employees who will perform work on the contract, any prior or ongoing contractual issues including breaches, litigation, or failures with the state or local government entities within the past six years, and any pending claims or litigation that could adversely affect performance. The form also includes sections for payment authorization using procurement cards and requires the signature of the individual authorized to bind the vendor organization to the contract.