BRDCOM-S3811-Vendor-Information-Response.pdf

This is a Vendor Information Response form used by the Nevada Division of State Purchasing on behalf of the Nevada Physical Therapy Board for a government relations services contract opportunity. The form requires vendors to submit comprehensive company and contact information, including primary company details, a designated contact person for questions and contract negotiations, and overall company profile documentation. Vendors must also disclose any relevant State of Nevada experience, current or former employment of state agency personnel, prior or ongoing contractual issues with the state, and obtain authorization signatures from individuals empowered to bind the organization.

The form mandates that selected vendors register as foreign corporations with the Nevada Secretary of State's Office pursuant to NRS 80.010 and obtain appropriate Nevada business licensing under NRS 76 prior to contract execution. Vendors are required to disclose significant prior or ongoing contract failures, breaches, civil or criminal litigation involving State of Nevada contracts, and any pending claims or litigation from the past six years that could adversely affect performance capabilities. The form also requires disclosure of any current state employees or individuals employed by state agencies within the past two years who will perform work under the contract. Additionally, vendors must authorize payment through a procurement card and designate an individual authorized to execute the contract on behalf of the organization.