OMESFormCP076.pdf
PDF 167 KB Posted
- Solicitation number
- EV00000600
- Issued by
- Hughes County, Hoffman Town, Oklahoma
About this file
This is a Responding Bidder Information form from the Oklahoma Office of Management & Enterprise Services (OMES). The form (OMES FORM CP 076) is a required document that must be submitted along with responses to state solicitations, accompanied by a "Certification for Competitive Bid and Contract."
The form requires bidders to provide general company information, contact details, and several key certifications including: confirmation whether they are engaged in a boycott of goods/services from Israel, registration status with the Oklahoma Secretary of State (required for contracts over $250,000), workers' compensation insurance coverage compliance, and verification of service-disabled veteran business status under the Disabled Veteran Business Enterprise Act. For service-disabled veteran businesses, bidders must provide certification of status from federal agencies, proof of at least 51% ownership by service-disabled veterans, and verification of management control by service-disabled veterans.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| EV00000600_Amendment_4.pdf | ||
| Exhibit_3_-_Bidder_Requirements.xlsx | XLSX spreadsheet | |
| EV00000600_Amendment_2.pdf | ||
| Exhibit_5_-_Pricing.xlsx | XLSX spreadsheet | |
| AttachmentD-ITTerms.pdf | ||
| BID_PACKET_ATTACHMENTS_INSTRUCTIONS.pdf | ||
| EV00000600_Amendment_1.pdf | ||
| Exhibit_4_-_Facility_Locations.xlsx | XLSX spreadsheet | |
| EV00000600_Amendment_3.pdf | ||
| OMESFormCP004.pdf | ||
| EV00000600_AgencyBidInstructions.pdf | ||
| Exhibit_2_-_Bidder_Reference_Worksheet.pdf | ||
| AttachmentB-NegotiableTerms.docx | DOCX document | |
| AttachmentA-AgencyPurposeScopeNonNegotiable_(3).pdf | ||
| AttachmentC-AgencyTerms.pdf | ||
| Exhibit_1_-_Executive_Summary_Worksheet.xlsx | XLSX spreadsheet |
Show all 16
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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 .