Exhibit 3 - Vendor Disclosure Statement Form.pdf

This is a Vendor Disclosure Statement Form issued by the State of Colorado on January 24, 2008, pursuant to Colorado Revised Statute 24-102-206. The form applies to all state contracts and solicitations for services executed after August 3, 2007, and requires vendors to disclose whether any services under the contract or subcontracts will be performed outside the United States or Colorado. If work is anticipated outside these jurisdictions, vendors must identify the specific countries and/or states where services will be performed and explain the necessity or advantage of performing work outside the United States or State of Colorado. The form requires vendors to provide a contract routing number and vendor name for completion and return to the contracting agency.

The disclosure requirement does not apply to 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), or the Colorado Indigent Care Program (Part I of Article 4 of Title 25.5 CRS). This form serves as a compliance and transparency mechanism to ensure the state has visibility into vendor performance locations and understands the rationale for any work performed outside Colorado or the United States.