Exhibit C - Vendor Contact Information Sheet.pdf
PDF 156 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 issued by the Colorado Department of Early Childhood (CDEC) that serves as a standardized form for collecting vendor registration and administrative data for contract and purchase order purposes. The form requires vendors to provide comprehensive organizational information including legal entity name, physical and mailing addresses, federal tax identification numbers, state incorporation details, and SAM.gov Unique Entity Identification (UEI) numbers. Additionally, vendors must identify their entity type—whether they operate as individuals, sole proprietors, professional corporations, limited liability companies, not-for-profit corporations, for-profit entities, joint ventures, or government agencies—and disclose whether they are new to CDEC, employ any current or former state employees, or maintain federally or state-negotiated indirect cost rates.
The form establishes multiple points of contact within the vendor organization to facilitate contract administration and payment processing, including designated primary contacts, financial contacts, invoice contacts, and individuals authorized to execute contracts. The document addresses the state's electronic signature process through DocuSign, allowing vendors to specify additional parties requiring involvement in the signature workflow and provide instructions regarding routing and approval sequencing. The form also captures information regarding the vendor's electronic fund transfer (EFT) setup with the State of Colorado and requests timelines for internal preliminary contract review and DocuSign execution, ensuring alignment between vendor processes and state contracting procedures.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| DQ1 26-263 Com Review of Arabic Course.pdf | ||
| Exhibit C - Vendor Contact Information Sheet.docx | DOCX document | |
| Exhibit D - State of Colorado Purchase Order Terms and Conditions.docx | DOCX document | |
| Exhibit D - State of Colorado Purchase Order Terms and Conditions.pdf | ||
| Exhibit B - Additional Provisions.docx | DOCX document | |
| Exhibit A - Statement of Work - Template.docx | DOCX document | |
| DQ1 26-263 Com Review of Arabic Course.docx | DOCX document | |
| Exhibit B - Additional Provisions.pdf |
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Text version
Page 1 of 3 VCIS_7-29-25A
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
Page 2 of 3 VCIS_7-29-25A
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
Page 3 of 3 VCIS_7-29-25A
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:
| Colorado Department of Early Childhood |
| Vendor Contact Information Sheet |
File details come from the government source that posted it. Updated .