Exhibit C - Vendor Contact Information Sheet.pdf
PDF 156 KB Posted
- Attached to
- Spanish & Arabic Training Material Translation
- Solicitation number
- DQ1 QAAA 2026000263 2
- Issued by
- Arapahoe County, Colorado
About this file
This is a Vendor Contact Information Sheet (VCIS) issued by the Colorado Department of Early Childhood (CDEC) for vendors seeking to contract with the state on the Spanish & Arabic Training Material Translation project. The form serves as the primary vehicle for collecting essential vendor identification, organizational structure, and contact information required to establish and maintain a state contract relationship. Vendors must provide their legal business name, physical and mailing addresses, federal tax identification number, state incorporation details, and a SAM.gov Unique Entity Identification (UEI) number. The form requests specification of the vendor's entity type, including options ranging from individual sole proprietors to government agencies, as well as disclosure of any current or former state employee involvement in the project and whether the vendor maintains a federally or state-negotiated indirect cost rate.
The VCIS additionally requires vendors to designate multiple points of contact across different functions, including a primary contact for all correspondence, dedicated financial and invoice contacts, and the individual authorized to execute the contract via DocuSign. Vendors must provide detailed contact information for each designated representative, including name, title, email address, and phone number. The form includes provisions for identifying additional signatories required in the DocuSign signature process and specifies their role in the approval hierarchy. Vendors must confirm their Electronic Fund Transfer (EFT) setup status with the state and provide the last four digits of their banking account for payment processing. The form also requests vendors to specify their internal timeline requirements for preliminary contract review and DocuSign execution, ensuring alignment with CDEC's contracting procedures.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit B - Additional Provisions.pdf | ||
| DQ1 26-263 Com Review of Arabic Course.docx | DOCX document | |
| DQ1 26-263 Com Review of Arabic Course.pdf | ||
| Exhibit A - Statement of Work - Template.docx | DOCX document | |
| Exhibit D - State of Colorado Purchase Order Terms and Conditions.pdf | ||
| Exhibit D - State of Colorado Purchase Order Terms and Conditions.docx | DOCX document | |
| Exhibit C - Vendor Contact Information Sheet.docx | DOCX document | |
| DQ1 QAAA 2026000263 Amendment #01.pdf | ||
| Exhibit B - Additional Provisions.docx | DOCX document |
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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 .