Exhibit 3 - Vendor Disclosure Statement Form.pdf

This is a Vendor Disclosure Statement Form issued by the State of Colorado on January 24, 2008, in compliance with 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. Vendors who have not already provided this information in their Statement of Work must complete and return this form to the contracting agency. If services are to be performed outside the specified geographic boundaries, the vendor must identify the specific countries and states where work will occur and provide a detailed explanation of why such performance is necessary or advantageous.

The disclosure requirement does not apply to contracts involving Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, or the Colorado Indigent Care Program. The form requires vendors to provide their name and the contract routing number for identification and tracking purposes. This mandatory disclosure mechanism ensures state oversight of contract performance locations and establishes a clear documentation process for any anticipated work performed beyond United States or Colorado borders.