OTC-Vendor-Information-Response~1.pdf

This is a Vendor Information Response form used by the State of Nevada for procurement purposes related to a one-year Open Term contract for De-Icing Sand and Cinders for District 3 (Elko/Ely) to be utilized by the Department of Transportation during winter months. The form requires vendors to provide comprehensive company contact information, including company name, street address, city, state, zip code, telephone number, toll-free number, and email address. Additionally, vendors must designate a point of contact for questions and contract negotiations, providing that individual's name, title, address, city, state, zip code, email address, and telephone numbers. The form also requests an overall company profile and requires vendors to disclose any relevant State of Nevada experience by listing each state agency for which work has been performed.

Vendors must comply with Nevada registration requirements, including foreign corporation registration with the Nevada Secretary of State's Office pursuant to NRS 80.010 and obtaining appropriate Nevada business licensing under NRS 76 prior to contract execution. The form requires disclosure of any current or former Nevada state employees who will perform work on the contract, as well as any significant prior or ongoing contractual issues, breaches, civil or criminal litigation involving the State of Nevada or its political subdivisions within the past six years that may adversely affect the vendor's ability to perform. The form also requests authorization for payment via procurement card and requires the signature of an individual authorized to bind the vendor organization, along with that individual's company affiliation and contact information.