Vendor Disclosure_fillable.pdf
PDF 144 KB Posted
- Solicitation number
- RFP GJLA 2026000224 2
- Issued by
- Jefferson County, Colorado
About this file
This is a Vendor Disclosure Statement form required by Colorado Revised Statute 24-102-206 for the State of Colorado related to the RRCC 26-14-RFP01 Website Redesign, Development & Migration contract opportunity. The form must be completed and returned to the contracting agency by any vendor submitting a proposal for this state contract. The disclosure statement applies to all state contracts and solicitations for services executed after August 3, 2007, and requires vendors to disclose whether any services under the contract or related subcontracts will be performed outside the United States or Colorado. If work is anticipated to be performed outside these jurisdictions, vendors must identify the specific countries and states where services will be performed, provide the total percentage of contract performance occurring outside the U.S. or Colorado, and explain the necessity or advantages of performing work outside these geographic boundaries.
The form contains fields for vendor name, yes/no checkboxes regarding out-of-state or out-of-country performance, and space for vendors to detail the locations of service performance and provide justification for any work performed outside Colorado or the United States. The disclosure requirement does not apply to contracts related to Medicare, the Colorado Medical Assistance Act, the Children's Basic Health Plan Act, or the Colorado Indigent Care Program. Completion and submission of this vendor disclosure form is a mandatory requirement for vendors bidding on this website redesign and development project.
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Text version
APPENDIX B
VENDOR DISCLOSURE STATEMENT
Contract Performance Outside the United States or Colorado Colorado Revised Statute 24-102-206
To the extent the vendor has not disclosed the following information in the Statement of Work, this form shall be completed and returned to the contracting agency. This applies to all state contracts and solicitation for services executed after August 3, 2007.
Vendor Name: _____________________________________
Are any services under the contract or any subcontracts anticipated to be performed outside the United States or Colorado?
Yes No
If “Yes”, please complete the following three questions:
1. Where will the services be performed under the contract, including any subcontracts?
(List country(ies) and/or state(s).)
2. What is the total percentage of contract performance outside US or Colorado?
3. Explain why it is necessary or advantageous to go outside of the United States or the State of Colorado to perform the contract or any subcontracts.
Not required for contracts to which the State is a party under:
• Medicare
• The “Colorado Medical Assistance Act”, Articles 4 to 6 of Title 25.5 CRS
• The “Children/s Basic Health Plan Act”, Article 8 of Title 25.5, CRS
• The “Colorado Indigent Care Program”, Part I of Article 4 of Title 25.5, CRS
| Vendor Name: |
| Text8: |
| Total percentage of work performed outside CO: |
| Where will services be performed: |
| Yes Checkbox: Off |
| No Checkbox: Off |
File details come from the government source that posted it. Updated .