11_OMES_Form_CP076.pdf
PDF 293 KB Posted
- Attached to
- Monthly Janitorial Services
- Solicitation number
- EV00000952
- Issued by
- Oklahoma
About this file
This is an OMES Form CP076 Responding Bidder Information form used by the Office of Management and Enterprise Services (OMES) Central Purchasing division on behalf of the Oklahoma Department of Human Services (OKDHS) for a monthly janitorial services contract. The solicitation (EV00000952) seeks qualified suppliers to provide janitorial services for three OKDHS facilities in Woodward, Oklahoma: the Human Services Center at 1803 Oklahoma Ave, the Child Welfare office at 1120 18th St, and the Admin office at 1723 Main St. Services are required three days per week (Monday, Wednesday, Friday) during business hours (8am-5pm) at each location. A contract resulting from this solicitation may be designated for use as a statewide contract under 74 O.S. § 85.5(G)(3).
The form requires bidders to provide general company information, including FEIN/SSN, supplier ID, contact details, and website information. Bidders must certify compliance with several state requirements, including registration with the Oklahoma Secretary of State (unless exempt), proof of workers' compensation insurance coverage or a signed statement of exemption, and disclosure of any boycott activities regarding goods or services from Israel. Additionally, bidders may claim disabled veteran business enterprise status if they meet the criteria defined in 74 O.S. § 85.44E, which requires certification of service-disabled veteran status, verification of at least 51% ownership by service-disabled veterans, and proof of management control by service-disabled veterans. All responses must include an authorized signature with date, name, and title of the signatory.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 09_Exhibit_6_-_Woodward_Cleaning_1723_Main_St.pdf | ||
| 05_Exhibit_2_Pricing.updated.docx | DOCX document | |
| 07_Exhibit_4_-_Woodward_Cleaning_1120_18th_St.pdf | ||
| 10_OMES_Form_CP004.docx | DOCX document | |
| 08_Exhibit_5_-_Woodward_Cleaning_1803_Oklahoma_Ave.pdf | ||
| 03_Attachment_B.docx | DOCX document | |
| 01_Bidder_Instructions.pdf | ||
| 02_Attachment_A.updated.pdf | ||
| 06_Exhibit_3-Reference_Sheet-post_with_bid.pdf | ||
| 04_Exhibit_1_-SOW.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: EV00000952 |
| 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 .