OMES_FORM_CP076.pdf
PDF 169 KB Posted
- Attached to
- HMCC SHU Generator Replacement
- Solicitation number
- EV00000712
- Issued by
- Asher Town, Oklahoma
About this file
This document is an Oklahoma Office of Management and Enterprise Services (OMES) Central Purchasing Responding Bidder Information form (Form CP076) for a solicitation numbered EV00000. The form requires bidders to provide comprehensive information about their business, including contact details, registration status, and compliance with specific state requirements. Key sections include verification of Oklahoma Secretary of State registration, workers' compensation insurance coverage, and confirmation of whether the bidder is a service-disabled veteran business.
The form mandates several key compliance attestations, including whether the bidder is engaged in a boycott of goods or services from Israel, has appropriate workers' compensation insurance, and meets requirements for service-disabled veteran business status. Bidders must provide documentation supporting their responses, such as insurance certificates, federal agency verification of veteran status, and ownership documentation. The form is designed to ensure transparency, legal compliance, and equitable participation in Oklahoma state procurement processes, with specific references to state statutes and administrative codes governing business participation in government contracting.
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Other files
| File | Type | Posted |
|---|---|---|
| AGENCY_BIDDER_INSTRUCTIONS.pdf | ||
| BID_PACKET_ATTACHMENTS_INSTRUCTIONS.pdf | ||
| ATTACHMENT_B_-_GENERAL_TERMS.docx | DOCX document | |
| EXHIBIT_2_-_HMCC_Generator_Engineer_Plans.pdf | ||
| EXHIBIT_3_-_HMCC_Generator_Engineer_Drawings.pdf | ||
| ATTACHMENT_A_-_PURPOSE.pdf | ||
| ATTACHMENT_C_-_AGENCY_TERMS.pdf | ||
| EXHIBIT_1_-_EXECUTIVE_SUMMARY.xlsx | XLSX spreadsheet | |
| OMES_FORM_CP004.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
EV00000
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