12_OMES_Form_CP076.pdf
PDF 293 KB Posted
- Attached to
- FEMA NIMS ICS Unit Leaders Courses for DPS
- Solicitation number
- EV00000958
- Issued by
- Oklahoma County, Hobart City, Oklahoma
About this file
This document is a Responding Bidder Information form (OMES Form CP076) issued by the Office of Management and Enterprise Services Central Purchasing division on behalf of the Oklahoma Department of Public Safety (DPS) for the procurement of instructors to deliver 4 FEMA NIMS ICS All Hazards Position Specific Unit Leader Courses. The solicitation number is EV00000958. The form requires bidders to provide general company information including FEIN/SSN, supplier ID, company name, contact information, and website details. DPS's emergency response courses are funded through a grant via an interagency agreement with the Oklahoma State Department of Health (OSDH), and any subcontractors selected must receive written approval from OSDH prior to award and contract execution. 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 certify compliance with several statutory and regulatory requirements as a condition of bid submission. Bidders must disclose whether they are engaged in a boycott of Israeli goods or services, demonstrate registration status with the Oklahoma Secretary of State or provide a signed exemption statement, and provide proof of workers' compensation insurance coverage or submit a written statement claiming exempt status under 85A O.S. § 2(18)(b)(1-11). Bidders may also claim Disabled Veteran Business Enterprise Act 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 verification of management control by service-disabled veterans. All bidders must provide an authorized signature, date, printed name, and title on the completed form.
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Other files
| File | Type | Posted |
|---|---|---|
| 02_Attachment_A_-_Purpose.pdf | ||
| 11_OMES_Form_CP004.docx | DOCX document | |
| EV00000958_Amendment_1.pdf | ||
| 03_Attachment_B_-_General_-_Terms.docx | DOCX document | |
| 04_Attachment_C_-_Agency_Terms.pdf | ||
| 08_Exhibit_3_-_Executive_Summary_Worksheet.xlsx | XLSX spreadsheet | |
| 07_Exhibit_2_-_Price_Template.xlsx | XLSX spreadsheet | |
| 09_Exhibit_4_-_Third_Party_Supplier_Info.xlsx | XLSX spreadsheet | |
| 10_Exhibit_5_-_Reference_Sheet.pdf | ||
| 05_Attachment_G_-_Federal_Terms.docx | DOCX document | |
| 06_EXHIBIT_1_NIMS_ICS_SOW.pdf | ||
| 01_Agency_Bid_Instructions.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: EV00000958 |
| 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 .