OMESFormCP076.pdf

PDF 286 KB Posted

Attached to
SW0761M SIGNPOSTS DELINEATORS
Solicitation number
EV00000940
Issued by
Oklahoma

About this file

This is a Responding Bidder Information form (OMES Form CP076) issued by the Oklahoma Office of Management and Enterprise Services (OMES) Central Purchasing division for a statewide competitive solicitation (SW0761M) to establish contracts for the purchase of galvanized steel signposts, square tubing posts, and delineators. The form serves as the certification document that all bidders must submit along with their response to the solicitation. Bidders are required to provide their general information including FEIN/SSN, Supplier ID, company name, and contact details. The form does not specify quantities, response dates, due dates, site visits, or bidder's meetings in this particular document, as it functions primarily as a bidder certification and compliance checklist rather than a solicitation notice with those operational details.

The form requires bidders to certify compliance with multiple Oklahoma statutory requirements prior to contract award, including registration with the Oklahoma Secretary of State (unless exempt), proof of workers' compensation insurance coverage or documented exemption, and disclosure regarding participation in boycotts of goods or services from Israel. Bidders may also claim status as a service-disabled veteran business enterprise if they meet the criteria defined in 74 O.S. § 85.44E and provide supporting documentation. The form requires an authorized signature, date, and title from the bidder's representative. No specific pricing terms, set-asides, incumbent information, funding amounts, or contract term details are outlined in this certification form itself.

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Other files

File Type Posted
Exhibit_1-ExecutiveSummaryWorksheet.pdf PDF
Exhibit_2-Mandatory_Requirements.pdf PDF
omes-form-cp004.pdf PDF
Exhibit_4-BusinessReferenceWorksheet.pdf PDF
Attachment-C-Statewide-Terms.docx DOCX document
1.0_Statewide-Bidder-Instructions.pdf PDF
Attachment-B-General-Terms.docx DOCX document
Attachment-A-Statewide_Purpose.pdf PDF
Exhibit_5-3rd_PartySupplierInfo.pdf PDF
Exhibit_3-Price_Sheet.xlsx XLSX spreadsheet

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Text version

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 https://www.sos.ok.gov/ https://www.wcc.ok.gov/

Central Purchasing
RESPONDING BIDDER INFORMATION
Solicitation:
FEINSSN:
Supplier ID:
Company name:
Contact name:
Title:
Email:
Phone:
Website:
Fax:
4 BIDDER IS ENGAGED IN BOYCOTT OF GOODS OR SERVICES FROM ISRAEL: Off
Prior to the contract award the successful bidder is required to register with the Secretary of State or must attach a: Off
Compensation Act: Off
7 DISABLED VETERAN BUSINESS ENTERPRISE ACT: Off
Date:
Name:
Title_2:
Filing number:
Address:

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