10_OMES_Form_CP076.pdf
PDF 293 KB Posted
- Attached to
- FY27 JEHCC Trash Removal Services
- Solicitation number
- EV00000896
- Issued by
- Latimer County, Hitchcock Town, Oklahoma
About this file
This is an OMES Form CP076 Responding Bidder Information form used by the Oklahoma Department of Corrections, through the Office of Management and Enterprise Services (OMES) Central Purchasing division, for the FY27 Jim E Hamilton Correctional Center (JEHCC) Trash Removal Services contract opportunity (Solicitation #EV00000896). The form is a standardized bidder certification document that requires respondents to provide company information, contact details, and attestations regarding various compliance and eligibility requirements. The contract pertains to solid waste removal services at Jim E Hamilton Correctional Center, located at 53468 Mineral Springs Road, Hodgen, Oklahoma 74939-3064. The form does not specify quantities, response deadlines, site visit information, bidders' conferences, or contract award dates and terms within the document itself.
The form requires bidders to submit certifications addressing several mandatory and conditional requirements, including registration status with the Oklahoma Secretary of State (unless exempt), workers' compensation insurance coverage compliance, and declarations regarding boycotts of Israeli goods or services. Bidders may also certify eligibility as a service-disabled veteran business enterprise if applicable, requiring submission of federal verification and ownership documentation. The form serves as a compliance and eligibility screening tool rather than a pricing or detailed solicitation document, and successful bidders must complete all required certifications and attach supporting documentation as specified before contract award.
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Other files
| File | Type | Posted |
|---|---|---|
| 05_Exhibit_2_Reference_Sheet.pdf | ||
| 03_Attachment_B_General_Terms.docx | DOCX document | |
| 08_Exhibit_5_Pricing.xlsx | XLSX spreadsheet | |
| 07_Exhibit4_ThirdPartySupplierInfo.xlsx | XLSX spreadsheet | |
| 02_Attachment_A_Agency_Purpose.pdf | ||
| 01_Agency_Bid_Instructions.pdf | ||
| 09_OMES_Form_CP004.docx | DOCX document | |
| 06_Exhibit_3_Scope_of_Work.pdf | ||
| 04_Attachment_C_Agency_Terms.pdf |
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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: EV00000896 |
| 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 .