11_OMES_Form_CP076.pdf
PDF 293 KB Posted
- Attached to
- SW1100M FINGERPRINTING SVC
- Solicitation number
- EV00000978
- Issued by
- Oklahoma
About this file
This is a Responding Bidder Information form (OMES Form CP076) issued by the State of Oklahoma's Office of Management and Enterprise Services (OMES) Central Purchasing division in conjunction with a statewide contract solicitation for electronic fingerprinting services (Solicitation EV00000978). The form serves as a mandatory certification document that prospective bidders must submit along with their proposal responses. The contract is designated as a mandatory statewide contract on behalf of the State of Oklahoma, with state affiliates authorized to utilize the awarded contract on an as-needed basis.
The form requires bidders to provide comprehensive organizational and contact information, including FEIN/SSN, Supplier ID, company name, and authorized representative details. Bidders must certify compliance with specific Oklahoma statutory requirements, including workers' compensation insurance coverage under the Oklahoma Administrative Workers' Compensation Act, registration with the Oklahoma Secretary of State, and disclosure regarding participation in boycotts of Israeli goods or services. The form also includes provisions for service-disabled veteran business enterprise (DVBE) certification, requiring documentation of veteran status verification, proof of at least 51 percent ownership by service-disabled veterans, and evidence of veteran management and operational control. Submission of the completed and signed certification form is a prerequisite to bid consideration.
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Other files
| File | Type | Posted |
|---|---|---|
| 06_Exhibit_1_-_Technical_Response.pdf | ||
| 02_Attachment_A_-_Purpose.pdf | ||
| 03_Attachment_B_General_Terms.docx | DOCX document | |
| 10_OMES_Form_CP004.docx | DOCX document | |
| 09_Exhibit_4_-_ThirdPartySupplierInfo_.xlsx | XLSX spreadsheet | |
| 04_Attachment_C-_Statewide_Terms.pdf | ||
| 01_Bidder_Instructions_-_SW1100M.pdf | ||
| SW1100_EV00000978_Amendment_1.pdf | ||
| 12_Supplier_Bid_Submission_Guide.pdf | ||
| 05_Attachment_D_-_IT_Terms.docx | DOCX document | |
| 07_Exhibit_2_-_Pricing.xlsx | XLSX spreadsheet | |
| 08_Exhibit_3_-_References.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: EV00000978 |
| 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 .