OMESFormCP021_(6).docx

This is a Design Approval/Sign-Off form for an Information Services project related to the ODVA Website (Project 50854) issued by the State of Oklahoma through OMES (Oklahoma Management and Enterprise Services). The document is associated with Solicitation or Purchase Order #EV00000888 and pertains to plumbing repair services at the Sallisaw Office located at 629 N Harriet, Sallisaw, OK 74955. The form requires the supplier to provide company information including name, address, city, state, zip code, and email address, along with authorization and certification by a qualified representative.

The form contains two primary certification requirements that suppliers must acknowledge. Under 74 O.S. § 85.42, the supplier certifies that no person involved in the contract's development while employed by the State of Oklahoma will be employed by the supplier to perform services under the contract. Additionally, under 74 O.S. § 85.41, if the contract involves professional services as defined by 74 O.S. § 85.2 and produces a written proposal, report, or study, the supplier certifies that it has not previously provided the state agency or any other state agency with a final product that substantially duplicates the proposed contract's final product. The supplier's authorized representative must sign and date the certification, providing their printed name and title.