OMESFormCP076.pdf
PDF 167 KB Posted
- Attached to
- SW0665
- Solicitation number
- EV00000590
- Issued by
- Creek County, Cement Town, Oklahoma
About this file
This document is a "Certification for Competitive Bid and Contract" form from the State of Oklahoma regarding a solicitation opportunity. The form requires bidders to provide information such as their Federal Employer Identification Number or Social Security Number, Supplier ID, company name, contact details, and confirm whether they are currently engaged in a boycott of goods or services from Israel. Bidders must also register with the Oklahoma Secretary of State if the contract value exceeds $250,000 and provide proof of workers' compensation insurance coverage. Additionally, the form allows bidders to self-identify as a service-disabled veteran business enterprise.
The form does not provide details about the specific products or services being procured, project overviews, quantities, response dates, award dates, or contract terms. It also does not mention pricing, set-asides, incumbents, funding sources, or other pertinent commercial terms. The document appears to be a standard state-level form required for all competitive bid submissions in Oklahoma.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment_C-StatewideTerms.docx | DOCX document | |
| Event_00000XXX_Exhibit_2_Price_Sheet.xlsx | XLSX spreadsheet | |
| Exhibit_1_specs.docx | DOCX document | |
| SW0665_Bidder_Instuctions.docx | DOCX document | |
| SW0665_Bidder_Instuctions_Version_3.docx | DOCX document | |
| Attachment_A-StatewidePurpose_NonNegotiable.docx | DOCX document | |
| Attachment_B-NegotiableTerms.docx | DOCX document | |
| BID_PACKET_ATTACHMENTS_INSTRUCTIONS.pdf | ||
| SW0665_Bidder_Instuctions_Version_2.docx | DOCX document | |
| OMESFormCP004.pdf |
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Text version
OMES FORM CP 076 Rev. 11/2020 PAGE 1 OF 2
Responding Bidder Information
“Certification for Competitive Bid and Contract” MUST be submitted along with the response to the Solicitation.
1. RE: Solicitation #
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: (if over $250,000)
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 http://www.sos.ok.gov/ https://www.ok.gov/wcc/Insurance/index.html
OMES FORM CP 076 Rev. 11/2020 PAGE 2 OF 2
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
File details come from the government source that posted it. Updated .