Exhibit C - Vendor Contact Information Sheet.docx
DOCX document 153 KB Posted
- Attached to
- Spanish & Arabic Training Material Translation
- Solicitation number
- DQ1 QAAA 2026000263 1
- Issued by
- Arapahoe County, Colorado
About this file
This is a Vendor Contact Information Sheet form issued by the Colorado Department of Early Childhood (CDEC) that establishes standardized requirements for vendor registration and contract execution. The form functions as a comprehensive vendor onboarding document designed to collect essential organizational, financial, and personnel information prior to contract award. It captures vendor legal entity details, tax identification numbers, state incorporation information, and fiscal year end dates. The form mandates that all vendors maintain a SAM.gov Unique Entity Identification (UEI) number, except individuals, and requires disclosure of whether the vendor is new to CDEC and whether current or former state employees are engaged on the project. The document identifies key contact personnel across multiple functions including a primary contact for all correspondence, separate financial and invoice contacts, and the individual authorized to sign contracts.
The form establishes CDEC's electronic contracting procedures through DocuSign signature collection and requires vendors to specify any additional individuals requiring inclusion in the signature workflow, including their role in the approval process and timing relative to contract execution. Vendors must disclose whether they maintain federally or state-negotiated indirect cost rates and provide supporting documentation if applicable. The form requests confirmation of Electronic Fund Transfer (EFT) setup with the State of Colorado and account information for payment processing. Additionally, vendors are required to specify their anticipated timelines for preliminary contract review and DocuSign execution, enabling CDEC to manage the contracting process efficiently. The form does not specify contract values, terms, renewal options, or specific services to be procured, as it serves as a standard administrative template applicable across CDEC contracting activities.
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Text version
Colorado Department of Early Childhood Vendor Contact Information Sheet Legal Name of Vendor as it should appear on the Contract/Purchase Order including any doing business as (dba):
Street Address including City, State and Zip Code:
Mailing Address including City, State and Zip Code (if different from Street Address):
County Agency is in:
Federal Entity Identification Number (FEIN) or Tax ID Number (TIN):
State of Incorporation:
Secretary of State Identification/Document Number:
Fiscal Year End Date (Month and Day – format MM/DD):
All Vendors must have a SAM.gov Unique Entity Identification (UEI) number (except individuals). SAM UEI number:
| Are you a new vendor working with CDEC? | |||
| ☐ | Yes | ☐ | No |
Does your Agency hire any current or former State Employees to work on this project?
If yes, did they end employment with the State within the last 6 months?
Does your agency have a Federally Negotiated or State Negotiated indirect Rate?
If yes, please send a copy of the approval letter with this form.
| What type of Entity is your Agency? | ||
| ☐ | Individual | |
| ☐ | Professional Corporation (PC) | |
| ☐ | Sole Proprietor | |
| ☐ | Not-for-Profit Corporation | |
| ☐ | Limited Liability Company (LLC) | |
| ☐ | Joint Venture | |
| ☐ | For-Profit | |
| ☐ | Limited Liability Partnership (LLP) | |
| ☐ | Government |
Primary Contact to Receive ALL Correspondence’s Name:
Primary Contact’s Title:
Primary Contact’s Email Address:
Primary Contact’s Phone Number:
Financial Contact’s Name:
Financial Contact’s Title:
Financial Contact’s Email Address:
Financial Contact’s Phone Number:
Invoice Contact’s Name:
Invoice Contact’s Title:
Invoice Contact’s Email Address:
Invoice Contact’s Phone Number:
Individual Signing the Contract’s Name:
Individual Signing the Contract’s Title:
Individual Signing the Contract’s Email Address:
Individual Signing the Contract’s Phone Number:
The Colorado Department of Early Childhood Collects signatures via DocuSign. Please list below any individuals that need to be included in the DocuSign process (examples: Director’s Assistant, Attorney, etc.)
Additional Contact’s Name:
Additional Contact’s Title:
Additional Contact’s Email Address:
Additional Contact’s Phone Number:
| What does this person need to do? | ||||
| ☐ | Sign before Individual Signing | Contract and receive a copy upon | execution | |
| ☐ | Sign after Individual Signing | Contract and receive a copy upon | execution | |
| ☐ | Receive Copy Prior to Signer and | upon execution | ||
| ☐ | Approve Prior to Signer and receive | a copy upon execution | ||
| ☐ | Receive Copy upon execution only |
Are there any specific instructions for emails requesting preliminary approval or order of DocuSign for signature (examples: enter the internal routing number in the note in DocuSign for the Individual Signing the Contract; Please send in DocuSign in the following order; Please send for preliminary approval to Primary Contact only; etc.)?
| Is your agency set up for Electronic Fund Transfer (EFT) with the State of Colorado? | |||
| ☐ | Yes | ☐ | No |
If yes, please list the last 4 digits of the account number payments should be sent to:
How long does your agency and/or board need to complete a preliminary review of the contract?
How long does your agency and/or board need to sign the contract in DocuSign?
Date This Form Was Completed:
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