07-Responding_Bidder_Information__Form_CP_076.pdf
PDF 169 KB Posted
- Solicitation number
- EV00000632
- Issued by
- Logan County, Oklahoma
About this file
This is a Responding Bidder Information Form (CP076) from the Oklahoma Office of Management & Enterprise Services (OMES) Central Purchasing division, associated with solicitation #EV00000. The form serves as a required document that must be submitted along with a Certification for Competitive Bid and Contract as part of a bid response. The document outlines the basic information requirements for vendors submitting bids to the state.
The form requires bidders to provide general company information including FEIN/SSN, supplier ID, contact details, and several compliance certifications. Key requirements include disclosure of any boycott of goods/services from Israel, registration with the Oklahoma Secretary of State, proof of workers' compensation insurance coverage (or valid exemption), and qualification under the Disabled Veteran Business Enterprise Act if applicable. The form requires verification of service-disabled veteran status, 51% ownership, and control of management by service-disabled veterans for those claiming this status.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 05-Exhibit_1_-Executive_Summary.xlsx | XLSX spreadsheet | |
| 02-AttachmentA-AgencyPurposeScopeNonNegotiable.docx | DOCX document | |
| 03-AttachmentB-NegotiableTerms.docx | DOCX document | |
| 06-Non_Collusion_Form__CP-004.pdf | ||
| OMESFormCP011_-_Event_EV00000632.pdf | ||
| 01-AgencyBidInstructions.docx | DOCX document | |
| 04-AttachmentC-AgencyTerms.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
OMES Form CP076 (11/2024) RESPONDING BIDDER INFORMATION | Page 1 of 1
Central Purchasing
RESPONDING BIDDER INFORMATION
You must submit a Certification for Competitive Bid and Contract along with the response to the solicitation.
1. SOLICITATION
Solicitation #
2. BIDDER GENERAL INFORMATION
FEIN/SSN Supplier ID
Company name
3. BIDDER CONTACT INFORMATION
Address
Contact name Title
Email Phone Website Fax
4. BIDDER IS ENGAGED IN BOYCOTT OF GOODS OR SERVICES FROM ISRAEL
Yes No
5. REGISTRATION WITH THE OKLAHOMA SECRETARY OF STATE
Yes Filing number:
No Prior to the contract award, the successful bidder is required to register with the Secretary of State or must attach a signed statement that provides specific details supporting the exemption the supplier is claiming (sos.ok.gov or 405- 521-3911).
6. WORKERS’ COMPENSATION INSURANCE COVERAGE
Bidder is required to provide a certificate of insurance showing proof of compliance with the Oklahoma Administrative Workers’ Compensation Act.
Yes Include a certificate of insurance with the bid.
No Exempt from the Administrative Workers’ Compensation Act pursuant to 85A O.S. § 2(18)(b)(1-11). (Attach a written, signed and dated statement on letterhead stating the reason for the exempt status. For frequently asked questions concerning workers’ compensation insurance, visit wcc.ok.gov.)
7. DISABLED VETERAN BUSINESS ENTERPRISE ACT
Yes I am a service-disabled veteran business as defined in 74 O.S. § 85.44E.
Include the following with the bid response:
1. Certification of service-disabled veteran status as verified by the appropriate federal agency.
2. Verification of not less than 51% ownership by one or more service-disabled veterans.
3. Verification of the control of the management and daily business operations by one or more service-disabled veterans.
No I do not meet the criteria as a service-disabled veteran business.
8. SIGNATURE
Authorized signature Date
Name Title
EV00000
| FEINSSN: |
| Supplier ID: |
| Contact name: |
| Title: |
| Email: |
| Phone: |
| Website: |
| Fax: |
| Filing number: |
| Date: |
| Name: |
| Title_2: |
| Text3: |
| Text4: |
| Check Box5: |
| 0: |
| 0: Off |
| 1: Off |
| 2: |
| 0: Off |
| 1: Off |
| 3: |
| 0: Off |
| 1: Off |
| 4: |
| 0: Off |
| 1: Off |
File details come from the government source that posted it. Updated .