OMES_Form_076.pdf
PDF 286 KB Posted
- Attached to
- SW1075 Literacy and Math Scree
- Solicitation number
- EV00000955
- Issued by
- Oklahoma
About this file
This 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 SW1075, which seeks a statewide early literacy and mathematics screening system. The system must be capable of identifying reading and math deficiencies, including characteristics of dyslexia and dyscalculia, and must deliver valid, reliable, and actionable data for students in kindergarten through fifth grade. State agencies and affiliates may utilize this contract on an as-needed basis.
The form requires bidders to provide general company information including FEIN/SSN, Supplier ID, and contact details, and mandates certification responses regarding specific compliance and status requirements. Bidders must certify whether they are engaged in boycotts of Israeli goods or services, confirm registration with the Oklahoma Secretary of State (or provide exemption documentation), provide workers' compensation insurance certificates or claim exemption under Oklahoma statutes, and indicate whether they qualify as a service-disabled veteran business enterprise requiring appropriate federal certification and ownership verification. All submissions must include an authorized signature with the date and title of the signatory. No pricing information, set-asides, incumbent details, funding amounts, or contract term specifications are detailed in this form.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit_1_-_Technical_Response.pdf | ||
| Attachment_B_-_General_Terms.docx | DOCX document | |
| Attachment_D_-_IT_Terms.docx | DOCX document | |
| Exhibit_2_-_Pricing.xlsx | XLSX spreadsheet | |
| Attachment_A_-_Purpose.pdf | ||
| SW1075_Literacy_and_Math_Scree_EV00000955-Amendment_1.pdf | ||
| Attachment_C_-_Statewide_Terms.docx | DOCX document | |
| SW1075_Bidder_Instructions.pdf | ||
| OMES_Form_004.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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: |
| 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 .