OMESFormCP076.docx
DOCX document 61 KB Posted
- Attached to
- LeFlore County CWS Office Janitorial Services
- Solicitation number
- EV00000521
- Issued by
- Latimer County, Oklahoma
About this file
This document is a "Responding Bidder Information "Certification for Competitive Bid and Contract"" related to Solicitation # EV00000521 issued by the Oklahoma Department of Human Services (OKDHS) for monthly janitorial services for the LeFlore County Human Services and Child Welfare office located at 204 S Wall St. Poteau, OK 74953. The janitorial services are required three days per week (Monday, Wednesday, Friday) between the hours of 8am-5pm. The successful bidder will be required to register with the Oklahoma Secretary of State prior to the contract award unless they qualify for an exemption. The bidder must also provide a certificate of insurance showing proof of compliance with the Oklahoma Workers' Compensation Act or a written, signed, and dated statement on letterhead stating the reason for the exempt status.
The document also indicates that the Disabled Veteran Business Enterprise Act applies, and bidders meeting the criteria must include relevant certifications and verifications with their bid response. No other pricing terms, set asides, incumbents, funding requirements, or other salient information is provided in this document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 8300028802_Attachment_A_LeFlore_HSC_Janit.docx | DOCX document | |
| 8300028802_Bidder_instructions_LeFlore_HSC_CFS_Janit.docx | DOCX document | |
| 8300028802_Exhibit_2_LeFlore_Janit_Task_Freq_Chart.pdf | ||
| 8300028802_Amendment_1.docx | DOCX document | |
| AttachmentBStateGeneralTerms.pdf | ||
| 8300028802_Exhibit_1_LeFlore_HSC_CFS_FY25_Janit__Specs.pdf | ||
| 8300028802_Exhibit_3_LeFlore_HSC_CFS_FY25_Janit_Floor_Plan.pdf | ||
| 8300028802_Exhibit_Pricing_LeFlore_HSC_CFS_FY25_Janit.docx | DOCX document | |
| OMESFormCP004.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Responding Bidder Information
“Certification for Competitive Bid and Contract” MUST be submitted along with the response to the Solicitation.
1. RE: Solicitation # EV00000521
2. Bidder General Information:
| FEI / SSN : | |
| Supplier ID: |
Company Name:
3. Bidder Contact Information:
Address:
| City: | |
| State: | |
| Zip Code: |
Contact Name:
Contact Title:
| Phone #: | |
| Fax #: |
| Email: | |
| Website: |
4. Bidder currently engaged in a 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 will be 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 (www.sos.ok.gov or 405-521-3911).
6. Workers’ Compensation Insurance Coverage:
Bidder is required to provide with the bid a certificate of insurance showing proof of compliance with the Oklahoma Workers’ Compensation Act.
YES – Include with the bid a certificate of insurance.
NO – Exempt from the 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.1
1 For frequently asked questions concerning workers’ compensation insurance, see https://www.ok.gov/wcc/Insurance/index.html
OMES FORM CP 076 Rev. 11/2020
7. Disabled Veteran Business Enterprise Act
YES – I am a service-disabled veteran business as defined in 74 O.S. §85.44E. Include with the bid response 1) certification of service-disabled veteran status as verified by the appropriate federal agency, and 2) verification of not less than 51% ownership by one or more service-disabled veterans, and 3) verification of the control of the management and daily business operations by one or more service- disabled veterans.
NO – Do not meet the criteria as a service-disabled veteran business.
Authorized Signature
Date
Printed Name
Title image1.jpeg
File details come from the government source that posted it. Updated .