Exhibit D - Vendor Disclosure Stmt.pdf
PDF 150 KB Posted
- Attached to
- Farming & Grazing BV Ranch
- Solicitation number
- 2025000284
- Issued by
- Chaffee County, Colorado
About this file
The document is a Vendor Disclosure Statement from the Colorado Department of Corrections, specifically Exhibit E for the Solicitation Number DQ 2025000284. This form is designed to gather information about contract performance locations, requiring vendors to disclose where services will be performed, including any subcontracted work. The form is mandatory for most state service contracts, with specific exceptions noted for certain healthcare-related contracts and construction projects.
The disclosure statement requests vendors to list all counties and states where contract services will be performed, and if services are anticipated to be performed outside of the United States or Colorado, the vendor must explain why such external performance is necessary or advantageous. Vendors are required to complete this form prior to contracting or as part of the solicitation process, with the completed document to be returned to the contracting state agency or institution of higher education. The form includes spaces for vendor name, signature, date, printed name, and title to ensure comprehensive documentation of the service performance location.
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Text version
Exhibit E
Colorado Department of Corrections
State of Colorado – Contract Management Information
Vendor Disclosure Statement
Contract Performance Outside of the United States of Colorado
Prior to Contracting, or as a requirement for the solicitation of any contract for services from the State of Colorado, a prospective vendor is required to disclose the following information in a statement of work.
Completing this Form
• To the extent the following information has not previously been disclosed in a statement of work, a prospective vendor shall complete this Vendor Disclosure Statement and return it to the contracting state agency or institution of higher education (IHE).
• This Disclosure Statement is not required for contracts under Medicare, the “Colorado Medical
Assistance Act”, Articles 4 to 6 of Title 25.5 C.R.S., the “Children Basic Health Plan Act”, Article 8 of Title 25.5, C.R.S, or the “Colorado Indigent Care Program”, Part 1 of Article 3 of
Title 25.5 C.R.S.
• This Disclosure Statement is not required for Construction contract.
1. Solicitation Number: DQ 2025000284
2. Vendor Name:_____________________________________________________________________
3. Where will the services under the contract, including any subcontracts, be performed? List all county(ies) and state(s).
4. If it is anticipated that services under the contract or any subcontracts will be performed outside of the United States or the State of Colorado, explain why it is necessary or advantageous to go outside the United States or the State of Colorado to perform the contract or any subcontracts.
Signature: __________________________________ Date:_____________________________________
Printed Name: ______________________________ Title: _____________________________________
File details come from the government source that posted it. Updated .