OMESFormCP004.pdf

This is a Non-Collusion Certification form from the Oklahoma Office of Management & Enterprise Services (OMES) required for any competitive bid and/or contract exceeding $25,000 submitted to the State for goods or services. The form is identified as OMES FORM CP 004, revised in August 2023, and must be completed by suppliers or bidders submitting bids to Oklahoma state agencies.

The certification form contains five main sections covering non-collusion requirements, restrictions on employing state employees, certification regarding boycotts of Israel, certification regarding boycotts of energy companies, and disclosure requirements for debarment or suspension matters. The form requires supplier information including legal name, agency details, and solicitation/purchase order numbers. The supplier must certify either that the form accompanies a competitive bid or that the contract was awarded without competitive bidding pursuant to Oklahoma statutes. A supplier authorized signature, printed name, title, contact information including phone, fax, and email are required for completion.