09_OMESformCP076.pdf
PDF 293 KB Posted
- Attached to
- Credit Counseling Services
- Solicitation number
- EV00000925
- Issued by
- Oklahoma
About this file
This is a Responding Bidder Information form (OMES Form CP076) used by the Oklahoma Office of Management and Enterprise Services (OMES) Central Purchasing division for the Credit Counseling Services solicitation (EV00000925) on behalf of the Department of Consumer Credit. The form serves as a certification document that bidders must submit along with their response to provide credit counseling services to consumers. The solicitation may result in a statewide contract available for use across Oklahoma agencies. The document does not specify response dates, due dates, site visits, bidder meetings, award dates, or contract terms, as it is a standardized form rather than a solicitation notice.
The form requires bidders to provide general company information, contact details, and certification regarding several compliance and eligibility matters. Bidders must declare whether they are engaged in boycotts of Israeli goods or services, confirm registration with the Oklahoma Secretary of State, provide workers' compensation insurance coverage documentation or claim an exemption, and identify whether they qualify as a service-disabled veteran business enterprise. An authorized representative must sign and date the completed form. The document does not contain information regarding pricing terms, set asides, incumbent contractors, funding sources, or amounts, as these details would be contained in the main solicitation documents rather than this certification form.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 03_Attachment_B_-_General_Terms.docx | DOCX document | |
| 07_Exhibit_3_-_Reference_Sheet.pdf | ||
| 06_Exhibit_2_-_Price.xlsx | XLSX spreadsheet | |
| 02_Attachment_A_-_Purpose.pdf | ||
| 05_Exhibit_1_-_Executive_Summary_Worksheet.xlsx | XLSX spreadsheet | |
| 08_Exhibit_4_-_Third_Party_Supplier_Info_.xlsx | XLSX spreadsheet | |
| 10_OMESformCP004.pdf | ||
| 01_Agency_Bid_Instructions.pdf | ||
| 04_Attachment_C_-_Agency_Terms.docx | DOCX document |
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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 https://www.sos.ok.gov/ https://www.wcc.ok.gov/
| Central Purchasing |
| RESPONDING BIDDER INFORMATION |
| Solicitation: EV00000925 |
| FEINSSN: |
| Supplier ID: |
| Company name: |
| Contact name: |
| Title: |
| Email: |
| Phone: |
| Website: |
| Fax: |
| 4 BIDDER IS ENGAGED IN BOYCOTT OF GOODS OR SERVICES FROM ISRAEL: Off |
| Prior to the contract award the successful bidder is required to register with the Secretary of State or must attach a: Off |
| Compensation Act: Off |
| 7 DISABLED VETERAN BUSINESS ENTERPRISE ACT: Off |
| Date: |
| Name: |
| Title_2: |
| Filing number: |
| Address: |
File details come from the government source that posted it. Updated .