Business Organization Statement.pdf
PDF 38 KB Posted
- Solicitation number
- 26004
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Business Organization Statement form issued by the Colorado Judicial Department located at 1300 Broadway, Suite 1200 in Denver, Colorado 80203. The document is a standard vendor submission form for businesses interested in participating in a state contract opportunity, specifically related to the Lindsey-Flanigan Courthouse Audio Visual and Electronic Presentation Systems project. The form requires potential vendors to provide comprehensive business details, including legal business name, contact information, business type, and registration status.
The form includes critical compliance and disclosure sections, such as requiring vendors to acknowledge all modifications posted on the Colorado Judicial Department's electronic bidding system, provide a current W9 form, submit business registration documentation from the Colorado Secretary of State, and disclose any previous debarment from government business. Vendors must also indicate their business type (e.g., corporation, partnership, sole proprietorship) and whether they are operating under a fictitious business name. The document serves as an initial qualification and information gathering tool for potential contractors seeking to bid on the courthouse audio-visual systems installation project, which will be funded through a federal grant with the ALN 21.027 FAIN SLFRP0126 funding code.
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Other files
| File | Type | Posted |
|---|---|---|
| Lindsey Flanigan Attachment B.xlsx | XLSX spreadsheet | |
| Lindsey Flanigan Attachment D.pdf | ||
| Solicitation Terms and Conditions.pdf | ||
| Affidavit of Non-Collusion.pdf | ||
| Form W-9 (rev. March 2024).pdf | ||
| RFP 26004 -Lindsey-Flanigan AV Systems.pdf | ||
| Exceptions to Agreement.pdf |
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Text version
Business Organization Statement
Colorado Judicial Department 1300 Broadway, Suite 1200
Denver, CO 80203 The below named company is voluntarily submitting this offer and acknowledges that it is consistent with the specifications, terms and conditions, and INCLUDES
ACKNOWLEDGMENT OF ALL MODIFICATIONS POSTED ON THE COLORADO JUDICIAL
DEPARTMENT’S ELECTRONIC BIDDING SYSTEM.
Business (or Individual) Legal Name: (Exactly as it is to appear on the Agreement)
Name and Title: (individual authorized to execute the Agreement on behalf of Respondent)
Agreement Mailing Address: City: State: Zip:
Telephone Number: Email:
Business Type, if applicable, include State where incorporated, (i.e., a Colorado Corporation, a Nevada Limited Partnership, a Sole Proprietor, etc.).
If using a fictitious business name (“DBA”), state name:
Provide a copy of a completed W9 (form must be dated within the current month/year):
Yes ____ No____
Vendors must provide a copy of the business registration/renewal from the Colorado Secretary of State’s website with their proposal.
Debarment: Have you or your firm ever been debarred from doing business with any government entity? Yes No________
If the answer is “YES,” please provide information regarding each debarment by listing on an attached paper the following information; (1) debarring government entity; (2) dates of debarment; and, (3) reason of debarment.
Signature: Title:
Print Name: Date:
| Business (or Individual) Legal Name: (Exactly as it is to appear on the Agreement): |
| Name and Title: (individual authorized to execute the Agreement on behalf of Respondent): |
| Agreement Mailing Address: |
| City: |
| State: |
| Zip: |
| Telephone Number: |
| Email: |
| Business Type, if applicable, include State where incorporated, (ie, a Colorado: |
| If using a fictitious business name (“DBA”), state name: |
| Yes: |
| No: |
| government entity? Yes: |
| No_1: |
| Print Name: |
| Title: |
| Date: |
File details come from the government source that posted it. Updated .