OMES_Form_CP076-Responding_Bidder_Information.pdf

PDF 232 KB Posted

Attached to
SW1050 -Deliverable Based IT Services (DBITS) State and local contract opportunity
Solicitation number
EV00000678
Issued by
Oklahoma

About this file

This document is an Oklahoma Office of Management and Enterprise Services (OMES) Central Purchasing Responding Bidder Information form for Solicitation #EV00000678. The form is a standard bidder information sheet requiring potential vendors to provide details about their business and compliance with state regulations. The form covers several key areas of vendor qualification, including registration with the Oklahoma Secretary of State, workers' compensation insurance coverage, and potential status as a disabled veteran business enterprise.

The form requires bidders to disclose critical information such as company contact details, confirmation of not engaging in a boycott of goods or services from Israel, workers' compensation insurance status, and disabled veteran business enterprise certification. Vendors must provide documentation proving their compliance with various Oklahoma state requirements, including potential exemptions for workers' compensation and verification of service-disabled veteran business status. The form is designed to ensure that bidders meet state procurement standards and provide transparency in the competitive bidding process.

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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

EV00000678

File details come from the government source that posted it. Updated .