Exhibit 3 - Vendor Disclosure Statement Form.pdf
PDF 14 KB Posted
- Attached to
- NEJC17004 Access Control System
- Solicitation number
- IFB1 GJRA 2017000060 1
- Issued by
- Lincoln County, Colorado
About this file
This is a Vendor Disclosure Statement Form required by the State of Colorado under Colorado Revised Statute 24-102-206 for all state contracts and solicitations for services executed after August 3, 2007. The form applies to contracts where services may be performed outside the United States or the State of Colorado. Vendors must disclose the geographic locations where contract services, including any subcontract work, will be performed and provide justification for performing work outside U.S. or Colorado boundaries. The form requires vendors to identify specific countries and/or states where services will be performed and explain the necessity or advantage of conducting work in those locations.
The disclosure requirement does not apply to contracts under Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, or the Colorado Indigent Care Program. Vendors must provide their name, the contract routing number, and complete the disclosure form only if services are anticipated to be performed outside the United States or Colorado; completion is waived if all work will be performed within Colorado or the United States.
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Other files
| File | Type | Posted |
|---|---|---|
| NEJC17004 Access Control System.pdf | ||
| Exhibit 2 - Special Provisions 1.1.09.pdf | ||
| Access control bid list.pdf | ||
| Exhibit 4 - W9.pdf | ||
| ACCESS CONTROL LISTfor bidding.xlsx | XLSX spreadsheet | |
| Exhibit 1 - Purchase Order Terms & Conditions 1.1.09.pdf |
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Text version
January 24, 2008
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
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