07-Responding_Bidder_Information__Form_CP_076.pdf
PDF 169 KB Posted
- Solicitation number
- EV00000700
- Issued by
- Asher Town, Oklahoma
About this file
This document is a Responding Bidder Information form (OMES Form CP076) issued by the Oklahoma Office of Management and Enterprise Services (OMES) Central Purchasing division for solicitation number EV00000. The form is a standard state procurement document that requires bidders to provide comprehensive information about their business and compliance with various state requirements.
The form requires bidders to disclose details such as their Federal Employer Identification Number (FEIN), contact information, and compliance with specific Oklahoma state regulations. Key compliance areas include registration with the Oklahoma Secretary of State, workers' compensation insurance coverage, and verification of disabled veteran business enterprise status. Bidders must also confirm they are not engaged in a boycott of goods or services from Israel. The document provides checkboxes and instructions for bidders to demonstrate their eligibility and provide necessary documentation for the solicitation process.
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Other files
| File | Type | Posted |
|---|---|---|
| 03-AttachmentB-NegotiableTerms.docx | DOCX document | |
| 06-Non_Collusion_Form__CP-004.pdf | ||
| 00_-_BID_PACKET_ATTACHMENTS_INSTRUCTIONS.pdf | ||
| 02-AttachmentA-AgencyPurposeScopeNonNegotiable.docx | DOCX document | |
| 01-AgencyBidInstructions.docx | DOCX document | |
| 04-AttachmentC-AgencyTerms.docx | DOCX document | |
| 05-Exhibit_1_-Executive_Summary.xlsx | XLSX spreadsheet |
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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 |
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