Bear_OMESFormCP076_(8).docx
DOCX document 68 KB Posted
- Attached to
- Two Smokey Bear Suits with fans
- Solicitation number
- EV00000962
- Issued by
- Oklahoma
About this file
This is a Certification for Competitive Bid and Contract form (OMES Form CP 076) issued by the State of Oklahoma for a solicitation to procure two Smokey Bear suits with fans. The procurement aims to replace deteriorating mascot suits used for wildfire prevention education programming across the Southeast and East Central regions of Oklahoma. The current suits have exceeded their usable lifespan and present safety concerns that limit the effectiveness of the Agency's outreach to schools and community events. The new suits are necessary to maintain continuous, high-quality prevention education and appropriate public representation. No specific response deadline, due date, site visit requirements, bidders' conference information, award date, or contract term details are provided in this form.
The form establishes bidder certification requirements rather than pricing terms or contract specifics. Responding bidders must provide general company information, Federal Employer Identification Number or Social Security Number, and supplier identification. Bidders must certify compliance with Oklahoma Workers' Compensation Act requirements, register with the Oklahoma Secretary of State unless exempt, and disclose any boycott activities regarding goods or services from Israel. Service-disabled veteran business enterprises may claim preference if they meet specified ownership and control criteria and provide appropriate federal verification. No pricing information, set-aside provisions, incumbent contractor details, or funding source documentation appears in this certification form, as it functions solely as a bidder qualification and compliance checklist.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Smokey_Bidder_Instructions_(1).pdf | ||
| Bear_Attachment_to_Requisition.pdf | ||
| Bear_OMESFormCP021_(6).pdf | ||
| Bear_CP004.pdf | ||
| Bear_Attachment_B_State_General_Terms.pdf |
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Text version
Responding Bidder Information
“Certification for Competitive Bid and Contract” MUST be submitted along with the response to the Solicitation.
1. RE: Solicitation # EV00000
2. Bidder General Information:
| FEI / SSN : | |
| Supplier ID: |
Company Name:
3. Bidder Contact Information:
Address:
| City: | |
| State: | |
| Zip Code: |
Contact Name:
Contact Title:
| Phone #: | |
| Fax #: |
| Email: | |
| Website: |
4. Bidder currently engaged in a 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 will be 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 (www.sos.ok.gov or 405-521-3911).
6. Workers’ Compensation Insurance Coverage:
Bidder is required to provide with the bid a certificate of insurance showing proof of compliance with the Oklahoma Workers’ Compensation Act.
YES – Include with the bid a certificate of insurance.
NO – Exempt from the 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.1
1 For frequently asked questions concerning workers’ compensation insurance, see https://www.ok.gov/wcc/Insurance/index.html
OMES FORM CP 076 Rev. 11/2020
7. Disabled Veteran Business Enterprise Act
YES – I am a service-disabled veteran business as defined in 74 O.S. §85.44E. Include with the bid response 1) certification of service-disabled veteran status as verified by the appropriate federal agency, and 2) verification of not less than 51% ownership by one or more service-disabled veterans, and 3) verification of the control of the management and daily business operations by one or more service- disabled veterans.
NO – Do not meet the criteria as a service-disabled veteran business.
Authorized Signature
Date
Printed Name
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