OTC-Vendor-Information-Response~2.pdf
PDF 143 KB Posted
- Attached to
- Glass Traffic Beads
- Solicitation number
- 80DOT-S4006
- Issued by
- Nevada
About this file
This is a Vendor Information Response form for the State of Nevada seeking competitive pricing for a one-year Open Term Contract for glass traffic beads designed for use with waterborne traffic paint. The form serves as the primary documentation mechanism through which vendors provide essential company and contact information to the State of Nevada for contract development and execution. Vendors are required to supply company name, street address, city, state, zip code, telephone and toll-free numbers, and email address, along with a designated point of contact for questions and contract negotiations including that individual's name, title, address, city, state, zip code, email address, and telephone information. The form also requests an overall company profile and vendor licensing information, with specific notification that corporations organized under the laws of another state must register with the Nevada Secretary of State's Office as a foreign corporation before contract execution, and all vendors must obtain appropriate licensing from the Nevada Secretary of State's Office pursuant to NRS 76.
Additional requirements outlined in the form include disclosure of any State of Nevada experience, identification of any current or former State of Nevada employees who will perform work under the contract, and comprehensive disclosure of any prior or ongoing contractual issues, contract failures, breaches, civil or criminal litigation, or pending claims occurring within the past six years that may adversely affect the vendor's ability to perform. The form also requires vendors to authorize payment via procurement card and designate an individual authorized to bind the organization, including that individual's signature, name, title, address, city, state, zip code, email, and telephone contact information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 80DOT-S4006 Addtional Requirements.docx | DOCX document | |
| 0000 Standard Terms and Conditions for Commodities.pdf | ||
| Quote Instructions.pdf | ||
| 80DOT-S4006 Specifications and Requirements~1.docx | DOCX document |
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Text version
Revised: April 2021 Page 1 of 1
VENDOR INFORMATION RESPONSE
1. VENDOR CONTACT INFORMATION
COMPANY NAME AND CONTACT INFORMATION:
The information provided in the table below shall be used for development of the contract, if awarded.
Requested Information Response
Company Name:
Company Street Address:
City, State, Zip Code:
Telephone Number, including area code:
Toll Free Number, including area code:
Email Address:
POINT OF CONTACT FOR QUESTIONS
Requested Information Response
Name:
Title:
Address:
City, State, Zip Code:
Email Address:
Telephone Number, including area code:
Toll Free Number, including area code:
| Confidentiality and Certification of Indemnification |
| Certification Regarding Lobbying |
| Vendor Information Response |
| 1. VENDOR CONTACT INFORMATION |
| 1.1 COMPANY NAME AND CONTACT INFORMATION: |
| 1.2 CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS |
| 2. VENDOR INFORMATION |
| 2.1 Vendors shall provide an overall company profile in the following table: |
| 2.2 VENDOR LICENSING |
| 2.2.1 Please be advised: Pursuant to NRS 80.010, a corporation organized pursuant to the laws of another state shall register with the State of Nevada, Secretary of State’s Office as a foreign corporation before a contract can be executed between the ... |
| 2.2.2 The selected vendor, prior to doing business in the State of Nevada, shall be appropriately licensed by the State of Nevada, Secretary of State’s Office pursuant to NRS 76. Information regarding the Nevada Business License can be located at htt... |
| 2.3 STATE OF NEVADA EXPERIENCE |
| 2.3.1 If ‘Yes’, complete the following table for each State agency for whom the work was performed. |
| 2.3.2 Table can be duplicated for each contract being identified. |
| 2.4 CURRENT OR FORMER EMPLOYEE |
| 2.4.1 If you employ (a) any person who is a current employee of an agency of the State of Nevada, or (b) any person who has been an employee of an agency of the State of Nevada within the past two (2) years, and if such person shall be performing or p... |
| 2.5 PRIOR OR ONGOING CONTRACTUAL ISSUES |
| 2.5.1 Disclosure of any significant prior or ongoing contract failures, contract breaches, civil or criminal litigation in which the vendor has been alleged to be liable or held liable in a matter involving a contract with the State of Nevada or any o... |
| 2.5.2 Any pending claim or litigation occurring within the past six (6) years which may adversely affect the vendor’s ability to perform or fulfill its obligations if a contract is awarded as a result of this RFP shall also be disclosed. |
| 2.5.3 If ‘Yes’, please provide the information in the table below. |
| 2.5.4 Table can be duplicated for each issue being identified. |
| 3. PAYMENT AUTHORIZATION FOR USE OF PROCUREMENT CARD |
| 4. NAME OF INDIVIDUAL AUTHORIZED TO BIND THE ORGANIZATION |
| 4.1 SIGNATURE OF INDIVIDUAL AUTHORIZED TO BIND THE VENDOR |
| Company Name: |
| Company Email Address: |
| Contact Person Name: |
| Contact Person Title: |
| Contact Person Address: |
| Contact Person City, State, Zip Code: |
| Contact Person Email: |
| Contact Person Telephone: |
| Contact Person Toll Free (if applicable): |
| Company Address: |
| Company City State Zip Code: |
| Company Telephone: |
| Company Toll Free: |
File details come from the government source that posted it. Updated .