14_OMESformCP076.pdf

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Attached to
Service Oklahoma Branding
Solicitation number
EV00000946
Issued by
Oklahoma

About this file

This document is a Responding Bidder Information form (OMES Form CP076) issued by the Oklahoma Office of Management and Enterprise Services (OMES) Central Purchasing division for Solicitation EV00000946 related to Service Oklahoma Branding. The solicitation seeks responses from potential suppliers to provide physical brand standard products and services on behalf of Service Oklahoma, with the resulting contract potentially designated for use as a statewide contract under 74 O.S. § 85.5(G)(3). The form requires bidders to submit this certification along with their response to the solicitation, though specific details regarding quantities, response dates, due dates, site visits, bidders' conferences, award dates, and contract terms are not included in this particular document.

The form establishes several compliance and certification requirements for responding bidders, including registration with the Oklahoma Secretary of State prior to contract award (unless claiming an exemption), proof of workers' compensation insurance coverage or a signed statement claiming exemption under 85A O.S. § 2(18)(b)(1-11), and disclosure regarding participation in boycotts of goods or services from Israel. Additionally, bidders may self-identify as service-disabled veteran businesses if they meet the criteria defined in 74 O.S. § 85.44E and provide appropriate certification and verification documentation. The form requires an authorized signature, date, and contact information from the bidder but does not contain information regarding pricing terms, set-asides, incumbent contractors, funding amounts, or other financial details specific to this solicitation.

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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: EV00000946
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 .