13_OMESformCP076.pdf
PDF 180 KB Posted
- Attached to
- Inmate Communications Solutions
- Solicitation number
- EV00000939
- Issued by
- Oklahoma
About this file
This is an OMES Form CP076 Responding Bidder Information certification form for the Office of Management and Enterprise Services Central Purchasing division on behalf of the Oklahoma Department of Corrections. The form is required to accompany all bid responses for Solicitation #EV00000939, which concerns inmate communications solutions. Proposals are due October 29, 2026. The resulting contract may be designated as a statewide contract under 74 O.S. § 85.5(G)(3), allowing other Oklahoma state agencies and entities to utilize the awarded contract.
The form requires bidders to provide company identification information, including FEIN/SSN, Supplier ID, company name, contact information, and website details. Bidders must certify compliance with several statutory requirements, including disclosure of any boycott of Israeli goods or services, registration with the Oklahoma Secretary of State, workers' compensation insurance coverage under the Oklahoma Administrative Workers' Compensation Act, and eligibility status under the Disabled Veteran Business Enterprise Act. Bidders claiming exemptions from workers' compensation or disabled veteran status must provide supporting documentation with their responses. All certifications require authorized signature and date of submission.
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| 10_Exhibit_5_-_Facility_Information.xlsx | XLSX spreadsheet | |
| 08_Exhibit_3_-_Third_Party_Supplier_Info.xlsx | XLSX spreadsheet | |
| 14_OMESformCP004.pdf | ||
| EV939_OMESFormCP020.docx | DOCX document | |
| 15_Exhibit_8_-_Site_Visit_Schedule.pdf | ||
| 04_Attachment_C_-_Agency_Terms_-_Updated.docx | DOCX document | |
| 11_Exhibit_6_-_Non-Regulated_FCC_Categories_.xlsx | XLSX spreadsheet | |
| 06_Exhibit_1_-_ExecutiveSummaryWorksheet.xlsx | XLSX spreadsheet | |
| 05_Attachment_D_-_IT-Terms.docx | DOCX document | |
| 02_Attachment_A_-_Agency-Purpose_(Updated).pdf | ||
| EV939_Amendment_No.1.pdf | ||
| 07_Exhibit_2_-_Reference_Sheet.pdf | ||
| 01_Bidder_Instructions.pdf | ||
| 03_Attachment_B_-_General-Terms.docx | DOCX document | |
| 09_Exhibit_4_-_Mandatory_Requirements_and_Scope_of_Work_.docx | DOCX document | |
| 02_Attachment_A_-_Agency-Purpose.pdf | ||
| 12_Exhibit_7_-_Pricing.xlsx | XLSX spreadsheet | |
| 12_Exhibit_7_-_Pricing_Revised.xlsx | XLSX spreadsheet |
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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: EV00000939 |
| 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 .