OMESFormCP076.pdf
PDF 286 KB Posted
- Attached to
- Sign Erection and Maintenance ODOT
- Solicitation number
- EV00000683
- Issued by
- Carter County, Oklahoma
About this file
The document is an OMES (Office of Management & Enterprise Services) Responding Bidder Information form for Central Purchasing in Oklahoma, designed to collect essential details from potential vendors participating in a state procurement process. The form requires bidders to provide general company information, contact details, and certifications related to various state requirements, including registration with the Oklahoma Secretary of State, workers' compensation insurance coverage, and verification of business status.
The form includes several key compliance sections that bidders must address, such as confirming whether they are engaged in any boycott of goods or services from Israel, their workers' compensation insurance status, and potential qualification as a service-disabled veteran business enterprise. Vendors must indicate their registration status with the Oklahoma Secretary of State and provide documentation regarding workers' compensation insurance. Additionally, the form requires an authorized signature and allows businesses to claim special status, such as being a service-disabled veteran-owned business, which may provide certain advantages in the state procurement process.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_A_Purpose.pdf | ||
| Attachment_C-StatewideTerms.docx | DOCX document | |
| BID_PACKET_ATTACHMENTS_INSTRUCTIONS.pdf | ||
| Exhibit_1_Specifications.pdf | ||
| FORM-CP-011-Amendment_1_Q_AFinal.docx | DOCX document | |
| Attachment_B-NegotiableTerms.docx | DOCX document | |
| Exhibit_2_Price_.xlsx | XLSX spreadsheet | |
| Exhibit_3_Monotube_Type_B_and_C_.pdf | ||
| Exhibit_5_Reference_Sheet.pdf | ||
| SW0708_Bidder_Instuctions.pdf | ||
| Exhibit_4_Roadway_Standard_.pdf | ||
| OMESFormCP004.pdf |
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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: |
File details come from the government source that posted it. Updated .