Exhibit C - Vendor Contact Information Sheet.docx
DOCX document 153 KB Posted
- Attached to
- Spanish & Arabic Training Material Translation
- Solicitation number
- DQ1 QAAA 2026000263 3
- Issued by
- Arapahoe County, Colorado
About this file
This is a Vendor Contact Information Sheet from the Colorado Department of Early Childhood (CDEC) related to a Spanish and Arabic Training Material Translation contract opportunity. The form is designed to collect comprehensive vendor identification and contact information from organizations seeking to contract with CDEC. The document requests the vendor's legal name, business address, mailing address, county location, federal tax identification number, state of incorporation details, and fiscal year end date. Additionally, vendors must provide their SAM.gov Unique Entity Identification (UEI) number, except for individual contractors. The form inquires whether the vendor is new to working with CDEC and whether the agency employs any current or former state employees who separated from state employment within the last six months. Vendors must also indicate their entity type, which includes options such as individual, professional corporation, sole proprietor, not-for-profit corporation, limited liability company, joint venture, for-profit, or limited liability partnership. The form requests information regarding federally or state-negotiated indirect cost rates.
The document establishes requirements for multiple points of contact, including a primary contact for all correspondence, a financial contact, an invoice contact, and the individual authorized to sign the contract. CDEC utilizes DocuSign for contract signature collection, and the form allows vendors to identify additional individuals who require inclusion in the signature process along with their specific roles in the approval workflow. Vendors must provide instructions regarding the sequence and timing of DocuSign distribution if applicable. The form requires vendors to confirm whether they maintain Electronic Fund Transfer (EFT) capability with the State of Colorado and to provide the last four digits of the associated account number for payment processing. Finally, vendors must indicate the timeframe their agency and board require for preliminary contract review and DocuSign signature completion.
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Other files
| File | Type | Posted |
|---|---|---|
| DQ1 QAAA 2026000263 Q&A.docx | DOCX document | |
| DQ1 26-263 Com Review of Arabic Course.docx | DOCX document | |
| Exhibit C - Vendor Contact Information Sheet.pdf | ||
| Exhibit B - Additional Provisions.docx | DOCX document | |
| DQ1 QAAA 2026000263 Amendment #02.pdf | ||
| Exhibit B - Additional Provisions.pdf | ||
| Exhibit B - Additional Provisions v2.docx | DOCX document | |
| DQ1 26-263 Com Review of Arabic Course.pdf | ||
| DQ1 QAAA 2026000263 Amendment #01.pdf | ||
| Exhibit D - State of Colorado Purchase Order Terms and Conditions.pdf | ||
| DQ1 26-263 Com Review of Arabic Course v2 (1).docx | DOCX document | |
| Exhibit D - State of Colorado Purchase Order Terms and Conditions.docx | DOCX document | |
| Exhibit A - Statement of Work - Template.docx | DOCX document |
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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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