OMESFormCP021-Fillable.pdf

PDF 102 KB Posted

Attached to
Fire Flights
Solicitation number
EV00000961
Issued by
Oklahoma

About this file

This is a Supplier Contract Certification form (OMES Form CP 021, Revision 03/2020) issued by the State of Oklahoma for use in conjunction with a contract opportunity for fire flights wildfire detection services in the state's Forestry Services Eastern Areas. The form applies to a contract solicitation or purchase order under which a private vendor will provide fixed-wing aircraft for wildfire detection flights on designated high-fire danger days across the Northeast, East Central, and Southeast Areas of Oklahoma.

The certification form requires the supplier's authorized representative to attest to two key compliance requirements: first, 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; and second, if the contract involves professional services and produces a written proposal, report, or study, that the supplier has not previously provided the state agency or any other state agency with a substantially duplicative final product. The supplier must provide complete identification information including name, address, email, and authorized representative details, along with a signature and date certifying compliance with Oklahoma Statutes 74 O.S. § 85.41 and 74 O.S. § 85.42.

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Text version

OMES FORM CP 021 Rev. 03/2020

Supplier Contract Certification

Solicitation or Purchase Order #:

Supplier name:

Address:

City: State: Zip Code:

Email address:

A. In accordance with 74 O.S. § 85.42, the supplier named herein certifies that no person who has been involved in any manner in the development of this contract while employed by the State of Oklahoma shall be employed by the supplier to fulfill any of the services provided for under said contract.

B. In accordance with 74 O.S. § 85.41, if this contract is for professional services as defined in 74 O.S. § 85.2, and if the final product is a written proposal, report, or study, the supplier named herein further certifies that (s)he has not previously provided the state agency or any other state agency with a final product that is a substantial duplication of the final product of the proposed contract.

Supplier Authorized Representative Signature Date

Supplier Authorized Representative Printed Name Title

Supplier Contract Certification

Solicitation or Purchase Order:
Supplier name:
Address:
City:
State:
Zip Code:
Email address:
Date:
Supplier Authorized Representative Printed Name:
Title:

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