10_-_OMES_Form_CP076.pdf
PDF 286 KB Posted
- Attached to
- DAC Summer Conference 2027
- Solicitation number
- EV00000985
- Issued by
- Hobart City, Oklahoma
About this file
This document is the OMES Form CP076, a Responding Bidder Information certification form issued by the Oklahoma Office of Management and Enterprise Services (OMES) Central Purchasing division for the District Attorneys Council (DAC) Summer Conference 2027 solicitation. The form is required to be submitted by all bidders responding to this solicitation seeking to provide conference rooms and lodging services in Oklahoma City for the DAC/Oklahoma District Attorneys Association 2027 Summer Conference. A resulting contract from this solicitation may be designated for use as a statewide contract under 74 O.S. § 85.5(G)(3). The form itself does not specify response deadlines, bid submission dates, site visits, or bidder's conferences; these details would be contained in the primary solicitation document.
The CP076 form functions as a compliance certification requiring bidders to provide company identification information, contact details, Federal Employer Identification Number or Social Security Number, and Supplier ID. Bidders must certify regarding several statutory compliance matters, including whether they are engaged in a boycott of Israeli goods or services, registration status with the Oklahoma Secretary of State, workers' compensation insurance coverage under the Oklahoma Administrative Workers' Compensation Act, and eligibility status as a service-disabled veteran business enterprise as defined in 74 O.S. § 85.44E. The form requires an authorized signature and must accompany the bid response. No pricing terms, set-asides, incumbent information, or funding amounts are detailed on this certification form.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 02_-_Attachment_A_-_Agency_Purpose.docx | DOCX document | |
| 04_-_Attachment_G_-_Federal_Terms.docx | DOCX document | |
| 08_-_Exhibit_4_2027_GSA_Rates.pdf | ||
| 06_-_Exhibit_2_-_Pricing_Template.xlsx | XLSX spreadsheet | |
| 03_-_Attachment_B_-_General_Terms.docx | DOCX document | |
| 05_-_Exhibit_1_-_Requirements_and_Specs_Response_Sheet.docx | DOCX document | |
| 09_-_OMES_Form_CP004.pdf | ||
| 01_-_Bidders_Instructions.pdf | ||
| 07_-_Exhibit_3_Conference_Agenda.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: |
| 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 .