10_-_CP_076_Responding_Bidder_Infor_Form.pdf
PDF 190 KB Posted
- Attached to
- Equine Drug Testing State and local contract opportunity
- Solicitation number
- EV00000668
- Issued by
- Oklahoma
About this file
This document is an OMES (Oklahoma Office of Management & Enterprise Services) Responding Bidder Information form for Solicitation #EV00000668. The form is a standardized state procurement document requiring bidders to provide comprehensive company and compliance information. Key requirements include disclosing whether the bidder is engaged in a boycott of Israeli goods, confirming registration with the Oklahoma Secretary of State (for contracts over $250,000), and providing workers' compensation insurance documentation.
The form includes sections for bidders to declare their status as a service-disabled veteran business, which requires verification of service-disabled veteran ownership (at least 51%) and management control. Additional compliance elements include mandatory certification of workers' compensation insurance or a signed exemption statement. The document is designed to ensure potential state contractors meet specific legal and operational requirements before being considered for contract award, with specific references to Oklahoma state statutes and regulatory guidelines.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 02_-_Attachment_B__Full__Terms.docx | DOCX document | |
| 03_-_Attachment_C-Agency_Terms.pdf | ||
| 04_-_Exhibit1-Executive_Summary_Worksheet.xlsx | XLSX spreadsheet | |
| 06_-_EXHIBIT_A_Live_Race_Dates.pdf | ||
| 00_-_Bid_Instructions.pdf | ||
| 07_-_EXHIBIT_B_-_List_of_Thresholds.pdf | ||
| 01_-_Attachment_A-_Scope_of_Work_Non_Negotiable.pdf | ||
| 08_-_EXHIBIT_C_-_Uniform_Classification_Guidelines.pdf | ||
| 09_-_CP_004_Cert_for_Competitive_Bid_Form.pdf | ||
| 11_-_Document_Checklist.docx | DOCX document | |
| 05_-_Exhibit_2-Price.pdf |
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Text version
OMES FORM CP 076 Rev. 11/2020 PAGE 1 OF 2
Responding Bidder Information
“Certification for Competitive Bid and Contract” MUST be submitted along with the response to the Solicitation.
1. RE: Solicitation # EV00000668
2. Bidder General Information:
FEI / SSN : Supplier ID:
Company Name:
3. Bidder Contact Information:
Address:
City: State: Zip Code:
Contact Name:
Contact Title:
Phone #: Fax #:
Email: Website:
4. Bidder currently engaged in a boycott of goods or services from Israel.
YES
NO
5. Registration with the Oklahoma Secretary of State: (if over $250,000)
YES - Filing Number:
NO - Prior to the contract award, the successful bidder will be 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 (www.sos.ok.gov or 405-521-3911).
6. Workers’ Compensation Insurance Coverage:
Bidder is required to provide with the bid a certificate of insurance showing proof of compliance with the Oklahoma Workers’ Compensation Act.
YES – Include with the bid a certificate of insurance.
NO – Exempt from the 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.1
1 For frequently asked questions concerning workers’ compensation insurance, see https://www.ok.gov/wcc/Insurance/index.html http://www.sos.ok.gov/ https://www.ok.gov/wcc/Insurance/index.html
OMES FORM CP 076 Rev. 11/2020 PAGE 2 OF 2
7. Disabled Veteran Business Enterprise Act
YES – I am a service-disabled veteran business as defined in 74 O.S. §85.44E. Include with the bid response 1) certification of service-disabled veteran status as verified by the appropriate federal agency, and 2) verification of not less than 51% ownership by one or more service-disabled veterans, and 3) verification of the control of the management and daily business operations by one or more service-disabled veterans.
NO – Do not meet the criteria as a service-disabled veteran business.
Authorized Signature Date
Printed Name Title
File details come from the government source that posted it. Updated .